Private Lesson Request Question Title * 1. Student First Name OK Question Title * 2. Student Last Name OK Question Title * 3. Parent/Guardian First Name OK Question Title * 4. Parent/Guardian Last Name OK Question Title * 5. Contact Email Address OK Question Title * 6. Contact Cell Number OK Question Title * 7. Preferred Instructor (check all that apply) Student Teacher ($10+ per half hour) Assistant Teacher ($12.50+ per half hour) Faculty (price varies per faculty member) OK Question Title * 8. Dancer would like to work on: OK DONE