Hip Hop Private/Semi Private Lesson Request Form

Full Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Are you looking for Private or Semi-private classes?*

Private class for myself ($150 for 1 hour class)Semi-private class with friends ($150 + $15 each person)

Which dance style would you like to learn?*

Hip HopJazz FunkHeelsDanceHall

Anything you can tell us about your dance goals? Just for fun or specifically to; learn a full choreography to audition/perform, compete.*

Any specific teacher you want? Special rate applies for teacher request.

Any specific song you want to use? If no, leave blank

When is a good time to contact you and book the class?*