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PRIVATE LESSON FORM

Home PRIVATE LESSON FORM

Private Lesson Form

Parent Name*
First Last
Contact Email*
Contact No*
Student Name*
First Last
Preferred Day*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Please select preferred days and management will do their best to accomodate.
Preferred Time

: Hours

Minutes

AM/PM
Preferred Teacher

*Subject to management approval*
New Routine
- Jazz
- Hip Hop
- Tap
- Acro
- Lyrical
- Contemporary
- Song & Dance
- Musical Theatre
- Betty Tilley Scholarship
- Tap Medley/Championship
- Classical Championship
Duo/Trio Partners
New Duo/Trio Routine
- Jazz
- Hip Hop
- Tap
- Acro
- Lyrical
- Contemporary
- Song & Dance
- Musical Theatre
Partners Names
Partners Names
Old Routine Clean Up
Notes
CAPTCHA
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ACCOUNTS IMPORTANT ANNOUNCEMENT

Invoices are issued prior to the commencement of every term [Refer to Term Dates]
Payment must occur in line with Ambiance Dance payment policies and procedures.

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