Private Lesson Registration Form
Let us know how we can help you!
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Dancer’s Name
*
First Name
Last Name
What would you like to work on? (Choose only 2 per session)
*
Choreography
Technique/Execution
Stage Presence/ confidence
Career/Mentorship
Majorette Agilities
Strength & Conditioning
Other
Specific focus areas for training
*
Coach Alexis (Majorette, Execution/Technique, Agilities/Tumbling, Stage presence, Confidence, mentorship, etc)
*
Any medical, allergies, previous injuries we should be aware of?
*
Coach Monet (Majorette, Execution/Technique, Stage presence, Confidence)
*
Coach Destiney (Contemporary, Ballet, Jazz, Majorette, Agilities)
*
Any other specific date and time, if the above selection is not suitable.
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Serivices
*
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( X )
1 Hour Session - Coach Destiny
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
1 Hour Session- Director B
$75.00
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
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Cash App Pay
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