Private Lesson Request Form

Private Lesson Request Form

Please complete the form below and we will liase with our instructors and get back to you. If you wish to book 2:1s or small group bookings, please indicate this in your request, each member needs to complete a form.
Are you contacting on behalf of:*

YourselfA youth student
Your full name*

First NameLast Name
Youth Students Name*

First NameLast Name
Participants date of birth*

DayMonthYear
Date
Email address*
example@example.com
Mobile number*
Please enter a valid phone number.
Membership status*

MemberNon-member
Instagram handle (optional)
You won't be evaluated by your Instagram, it just helps ou instructors put faces to names.
Which instructor/s would you like to work with?*
What discipline/s do you want to work on?*

PolePole HeelsFloor WorkHoopSilksOther
Which venue can you attend private lessons at?*

The Oxford AcademyThe Leys Leisure CentreFeel Fit GymAerial Arts Academy Witney

What is your availability for a private lesson?*

Please specify your preferred location, date and time.*
Is this a one-off session or would you like regular slots?*

One-off sessionRegular slots
If regular slots, what time period?*
E.g. Indefinite, Until a certain date, X number of weeks, Unsure yet?
What would you like to work on during your lesson? (Please provide as much detail as possible)*
Are there specific moves? Do you have a performance coming up? Do you have a song or theme in mind? Are there certain skills you want to work on?
Do you have any special requirements or modifications? (e.g., injuries, pregnancy, accessibility needs, anything we should know)*
Payment:

Payment is via the Go Team Up platform only (no cash accepted).

Once your booking is confirmed, you will receive a link to complete payment online.
GDPR & Privacy Statement

We take your privacy seriously. The information and documents you provide will be stored securely and used solely for compliance, safety, and staff support purposes. Your data will not be shared with third parties without your consent, except where legally required. By submitting this form, you consent to the collection and processing of your personal data in accordance with GDPR. You have the right to access, rectify, or request deletion of your data at any time. For any queries or to exercise your rights, please contact info@aerialartsacademy.co.uk
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