Private Lesson Request form
Email *
Name (First & Last) *
Contact - Phone Number *
Contact - Email *
Level of Dance Education *
What do you hope to work on in Private Lesson? *
I understand that Private Lessons are $50 and will pay before my lesson starts. (Write name as agreement) *
I understand that Isabella Kearney, William and Sophia Hearn, student teachers, and Global Education Center will take every reasonable and usual precaution to protect the safety of the students. I understand that there is an inherent risk in any exercise activity and agree to release instructors and church of liability from accidental injury which may occur on the premises or as a result of participation in the program. Pictures taken in class/camp/performances may be used for promotion purposes throughout the year. Please type your name to sign.
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Other comments, questions, or concerns?

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