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Private Lesson Inquiry Form
Thanks for giving us as much information about your private lesson request as you can. The more we know about your needs, the quicker we can get you set up for your lessons. The soonest we can book a private lesson is 72 hours before the requested class date. Please pay for your lesson upon receipt of your invoice. This is the only way to confirm your lesson. If you do not pay 48 hours before your lesson, it will be canceled. If you are taking weekly private lessons, we can set you up with a payment plan that automatically draws from your account 72 hours before your lesson.
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First Name *
Last Name *
Student name (if different)
Preferred pronouns *
Email *
We will use this only for communications regarding NECCA and do not share our mailing lists.
Phone *
Date of Birth *
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DD
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YYYY
What is your availability? Please include all days and times that you're available as well as your preferred days and times. *
Preferred coach *
What skills/apparatuses are you interested in learning at NECCA? *
Please request for the specific lesson you are scheduling for.  When requesting a partner activity, please indicate if you have a training partner to work with you.  
Required
Ability Level *
Are you requesting a multi-person lesson? *
If "Yes," please list the names of the additional students here

Please note any requests for another student to join a lesson must be made at least 3 business days prior to the lesson. For group private lessons, if any one person has not paid their invoice two business days before the lesson, it will be canceled for everyone.
I am looking for . . . . *
Please list any injuries or special needs
We are experienced working with all ages, abilities and aspirations, and are happy to customize the training that best meets your needs.
If you have not created an account, please do so by following the steps below.
1). Go to this webpage - https://necenterforcircusarts.asapconnected.com/?org=4979#CourseGroupID=38550
Scroll down and click on Register Now! under the First Time Users "class"
2). This will prompt you to create an account
3). Go through and create the account
4). Afterwards it will add this "class" to your account. Make sure you checkout. The price is $0 so you won't be charged or even asked for any payment information.
5). After the checkout screen, it should take you to our waivers. Please sign these as well.

I already have an account or just created one! *
Any questions or comments? Do you have specific goals for your lesson(s)? Do you want a lesson that is anything other than the standard hour-long lesson (half hour or hour and a half?)
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