Pompano Dance Studio Private Lesson Request
Use this form to tell us more about how we can set you up for success in a private lesson! An email to arrange your private lesson will arrive in your inbox within 72 hours of submitting this form.
Sign in to Google to save your progress. Learn more
Email *
Dancer's name (first AND last please!) *
Parent/guardian's name (first AND last please!) *
Dancer's age: *
Dancer's grade: *
I would like to schedule a: *
My preferred DAY for a private lesson is:  *
Comments regarding preferred DAY:
My preferred TIME for a private lesson is:  *
Comments regarding preferred TIME:
Specific GOAL I would prefer to work toward: (examples could be practice showcase choreography, build confidence for stage, learn a particular skill, get ready for pointe shoes, etc) *
Specific TEACHER I would prefer to work with:
Specific STYLE of dance I would prefer to work on:
I understand that bookings may depend on staff/studio availability and are reserved on a first-come first-served basis. Cancellations with less than 24 hour notice will be billed the full amount. I understand that my account will be billed for private lesson(s) upon email confirmation of the private lesson.  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Signature Studios Florida LLC.

Does this form look suspicious? Report

Google Forms