Book A Private Session

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Private Lesson Inquiry Form

Complete the form below to get personalized details about my private lessons.

First name*

Last name*

Email*

Phone*

Preffered Method of Contact

Phone

Email

Text

Dance Experience Level

Beginner

Intermediate

Advanced

Preffered Lesson Format

Virtual

In-Person

In-person lessons incur additional costs due to travel expenses.

If you answered In-Person, are you able to travel to Jersey City?

Yes

No

In-person lessons incur additional costs due to travel expenses.

Preffered date and times for lessons

Specific Goals and Areas of Focus *

Additional Questions or Information for me

How did you hear about me?

I agree to receive communication regarding private lessons and understand that my information will be used for this purpose only.*

Yes

I agree to the terms and conditions *

Yes

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