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2023 Fall Semester Sept - Nov
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1.
Student's Full Name
(Required.)
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2.
Student Birth Day
(Required.)
3.
If student is a minor, what is the Full Name of Parent/Gaurdian?
*
4.
Student age and/or grade.
(Required.)
*
5.
Which class length do you prefer? (We advise returning students to continue with their longer class times)
(Required.)
30 minute (+15 minute cushion)
45 minute (+15 minute cushion)
60 minute (+15 minute cushion)
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6.
Do you prefer to pay per class or prepay a number of classes? (Prices are not listed - please refer to the pricing sheet before replying as this will incur an invoice)
(Required.)
Pay Per Class each session each week
Prepay 10 sessions in 1 payment
Prepay 10 sessions in 2 payments
Prepay 10 sessions in 3 payments
Prepay 10 sessions in 5 payments
7.
If you wish to reserve the same day same time, Please check the preferred day the student is available for his/her one-on-one class. (this is only for prepaid packages - disregard if you prefer pay per week)
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
8.
Please check the second preferred day the student is available for his/her one-on-one class. (this is only for prepaid packages - disregard if you prefer pay per week)
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
9.
Please check the third preferred day the student is available for his/her one-on-one class. (this is only for prepaid packages - disregard if you prefer pay per week)
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
10.
Are you planning to be away? If yes, what are the travel dates?
(This is only for prepaid packages & If you wish to reserve the same day same time - disregard if you prefer pay per week or prefer the weekly calendly link)
Current Progress,
0 of 10 answered