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Figure Skating Lessons! 
Please fill out this form if you are interested in private lessons with me :) 
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Full name: 
Email address: 
Phone number: 
Date of birth: 
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Parent/Guardian ( if under 18 ): 
Parent/Guardian email: 
Current Skating Level: 
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Previous coaching experience? 
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Any specific elements you want to learn? Goals you want to achieve? 
Preferred lesson frequency?
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Best days of the week for you. 
When do you want to start? 
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Do you own ice skates? 
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Please list any past or current injuries you had. This helps me understand where you are at physically and how I can best meet your coaching needs. :)
How did you hear about me! 
Cancellation Policy Agreement:  
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