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PRIVATE LESSON REQUEST
PLEASE CONTACT US IF YOU HAVE ANY QUESTIONS:
Charlotte Batty | 705.441.6221 or
charlotte@miniiadventures.com
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WHO IS THIS LESSON FOR:
*
Choose
YOURSELF
A GROUP
A YOUTH RIDER THAT YOU'RE THE PARENT/GUARDIAN OF
IT'S A GIFT FOR SOMEONE ELSE
NAME OF PARTICIPANT
*
Your answer
ADDRESS
*
Your answer
EMAIL
*
Your answer
PHONE
*
Your answer
DATE OF BIRTH
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MM
/
DD
/
YYYY
EMERGENCY CONTACT
*
Your answer
EMERGENCY CONTACT PHONE
*
Your answer
ANY ALLERGIES / HEALTH CONCERNS / DIETARY RESTRICTIONS, ETC THAT WE SHOULD BE AWARE OF?
Your answer
WHAT IS THE BEST METHOD TO CONTACT YOU TO BOOK YOUR PRIVATE LESSON?
*
EMAIL
TELEPHONE
WHAT LENGTH OF LESSON WOULD YOU LIKE TO BOOK FOR?
*
2 HOURS
3 HOURS
4 HOURS
Other:
HOW MANY RIDERS WILL BE PARTICIPATING?
*
JUST ME
2
3
4
5
6
WE HAVE MORE THAN 4 OR MORE AND WOULD LIKE A SECOND INSTRUCTOR
Other:
PLEASE ENTER THE NAMES AND EMAILS OF THE ADDITIONAL PARTICIPANTS
Your answer
DO YOU HAVE A PREFERRED LOCATION?
Your answer
WHICH WORKS BETTER FOR YOUR AVAILABILITY:
*
WEEKDAYS
WEEKENDS
Other:
WHAT TIME OF DAY WORKS BEST FOR YOUR AVAILABILITY:
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MORNING
AFTERNOON
EVENING
Other:
HOW MANY SEASONS HAVE YOU BEEN MOUNTAIN BIKING REGULARLY? (AT LEAST ONCE PER WEEK IN YOUR RIDING SEASON)
*
< 1 YEAR
1 - 2 YEARS
2 - 3 YEARS
3 - 4 YEARS
> 4 YEARS
WHAT LEVEL OF RIDER DO YOU CONSIDER YOURSELF? PLEASE REFER TO
https://www.miniiadventures.com/how-to-rate-your-skill-level
*
Choose
DONUT HOLES (AKA NEWBIE)
GLAZED (AKA BEGINNER)
CRUELLER (AKA NOVICE)
CHOCOLATE DIPPED (AKA STRONG NOVICE)
VANILLA SPRINKLES (AKA INTERMEDIATE)
BOSTON CREAM (AKA STRONG INTERMEDIATE)
JELLY (AKA ADVANCED)
MAPLE BACON (AKA EXPERT)
FRITTER (AKA PRO)
WHAT IS YOUR PARTICULAR GOAL OR SKILL YOU WANT TO ACCOMPLISH?
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Your answer
HAVE YOU TAKEN A MOUNTAIN BIKE CLINIC OR LESSON BEFORE? IF YES, WHAT DID YOU LEARN?
*
Your answer
WHAT KIND OF PEDALS DO YOU RIDE MOST FREQUENTLY?
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FLATS
CLIPLESS
WHAT BIKE ARE YOU CURRENTLY RIDING? (MAKE/MODEL/YEAR)
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Your answer
WOULD YOU LIKE TO RECEIVE THE OCCASIONAL EMAIL ABOUT UPCOMING EVENTS AND TIPS TO BETTER YOUR RIDING?
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Yes
No
HOW DID YOU HEAR ABOUT MINII ADVENTURES?
*
FACEBOOK
INSTRAGRAM
GOOGLE SEARCH
WORD OF MOUTH
DMBA
Other:
Required
DO YOU HAVE ANY DISCOUNT CODES TO USE?
Your answer
ANYTHING ELSE WE SHOULD KNOW?
Your answer
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