Private Lesson Request Form

Private Lessons Form
Please fill out form - Please note all requests MUST be minimum 48 hours prior
Parent/Guardian Name
First NameLast Name
Multiple Students
SKILL LEVEL: N - Never Ever , B - Beginner, I - Intermediate, A - Advanced
Student Name
First NameLast NameAgeSkill Level
Student Name
First NameLast NameAgeSkill Level
Student Name
First NameLast NameAgeSkill Level
Student Name
First NameLast NameAgeSkill Level
Time Options
Saturday, Sunday & Holidays @ 9:45, 11:00, 12:30, 1:45 & 3:00
Desired Date for Lesson:
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Program Options
Lesson Type
Address
Street Address
Street Address Line 2
CityProvince
Postal
E-mail (Guardian or over 18)
example@example.com
Mobile Number
Format: (000) 000-0000.
Additional Comments
Please indicate if you have multiple students
- Lessons are based on instructor availability. We require payment in advance in order to hold the instructor.
- All lessons are non-refundable.
- Morning, afternoon or night rentals sold separately online Click here to buy tickets online:
https://hockley.ltibooking.com/
- Masks or Face Covering are required during all lesson programs.
Any further information can be found on our website, www.Hockley.com
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Private Lessons Form