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Virtual Private Lesson - Registration Form
Please complete one form per child to request a private lesson with the Edmonton Dance Collective. 

1-on-1 Training
30 minutes - $30.00/session
45 minutes - $45.00/session
60 minutes - $60.00/session

Invoices will be sent upon receipt of registration. Fees are due upon receipt of invoice. 
Payments can be made by e-transfer to YEGDanceCollective@gmail.com
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Student Name *
How many years of dance experience does your dancer have? *
Student Birthday *
MM
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DD
/
YYYY
What studio does your dancer currently train out of? *
Parent Name *
Email Address *
Address *
Any medical concerns we should be aware of? (please list injuries, medical conditions, and allergies). 
Emergency Contact (Name, Phone Number, and Relation to Dancer) *
What is the objective of the private lessons? Please be as specific as possible (ex. solo cleaning, improve flexibility, jump higher, jazz technique etc.) *
What type of private lesson are you looking for? *
Required
Do you consent to your child's photos/videos being used for promotional purposes? *
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