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Private Lesson Request
First Name
*
Last Name
*
E-mail
*
Phone
*
Instructor Gender
*
Either
Male
Female
Do you have a preference of gender for your private lesson instructor?
Instructor Level
*
Any
Instructor
Senior Instructor
Master Instructor
Do you have a preference for the level of instructor? Pricing goes up by level of instructor. (i.e., Instructor --> Senior Instructor --> Master Instructor)
What do you want to learn?
*
Please tell us about: the dances you'd like to learn; your previous dance experience; any particular goals you have in mind, and anything else you'd like to tell us.
Availability
Monday Daytime
Monday Evening
Tuesday Daytime
Tuesday Evening
Wednesday Daytime
Wednesday Evening
Thursday Daytime
Thursday Evening
Friday Daytime
Saturday
Sunday
Please select all the times that you are available to take private lessons.
Address (Optional)
Address
Address Line 2
City
State
Zip Code