PRE-PRIVATE LESSON QUESTIONNAIRE
Thank you for your interest in a private lesson! We want to know how we can best serve you! Please fill out the form below so we know how to tailor your lesson to your specific needs.
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Email *
First & Last Name *
Pronouns *
Age *
What is your climbing skill level/experience *
What are your goals (short or long term) for climbing and how do you hope a Private Lesson will aid in your reaching these goals? *
When is your desired Lesson day/time? Please select all applicable times. 
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
10AM-11AM
11AM-12PM
12PM-1PM
1PM-2PM
2PM-3PM
3PM-4PM
5PM-6PM
6PM-7PM
7PM-8PM
Is there any additional information about yourself would be useful for your instructor to know?
How did you hear about Climb Tacoma / Private Lessons?
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What is the best way to contact you regarding Private Lesson scheduling? (Please provide contact info below, email preferred) *
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