RM of Milton No. 292

Lesson Request

Please sign up below with the following considerations:

Students’ Skill Level

Number of Lessons

Private lessons are only available Mon-Fri 9AM till 7PM (This includes ALL private Lessons, Semi or Single)

* Required

Primary Contact Information

First Name *

Last Name *

Primary Phone Number *

Secondary Phone Number

Email *

Preferred Contact Method

Participant Information

First Name *

Last Name *

Gender *

Age *

Skill Level *

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Preferences

Location

Special Accommodations or Requests

Objectives

General Availability

Please mark the times of the day you are generally available for lessons week to week

	AM	AFTN	PM	Morning	Afternoon	Evening
S	Sunday
M	Monday
T	Tuesday
W	Wednesday
R	Thursday
F	Friday
S	Saturday

Packages

Select Available Package *