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Private lessons inquiry
Please fill out if interested in 1 on 1 or group private lessons.
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
experience level
*
< 6 months - 1 year (white belt)
White belt or blue belt with some experience
Purple or brown belt (3+ years )
Black belt (5+ years )
Location for lesson
*
10th Planet Bethlehem
I have mats I can bring to you ! (Extra charge)
Other (please list location)
Other:
What are some of your goals in Jiujitsu ?
*
Competition
Next belt
Self Defense
Other:
Required
what kind of package would you like to purchase?
*
1 session for $100
3 sessions for $275
10 sessions for $850
subject you would like to cover in private lesson ?
*
Your answer
any additional information for me to know?
*
Your answer
Any injuries to be aware of ?
*
Your answer
Availability ?
*
Your answer
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