Private Lesson Info Request              Reston Town Center Ice Skating Pavilion
Sign in to Google to save your progress. Learn more
Private Lesson Inquiry
Please complete the PRIVATE LESSON inquiry form below with the skater's information and our coaches will contact you to review pricing and to schedule lessons. Admission and rental are not included in lesson fees. Reston Town Center Ice Skating Pavilion is not offering group lessons this season.

Please allow 24 hours for a response.

Any questions may be directed to restoniceskating@gmail.com.
Skater's First Name *
Skater's Last Name *
Parent/Guardian
*If skater is under 18
Skater's Date of Birth *
(mm/dd/yyyy)
MM
/
DD
/
YYYY
Skater's Gender *
Email Address *
Phone Number *
xxx-xxx-xxxx
Emergency Contact Name *
Emergency Contact Phone *
xxx-xxx-xxxx
Previous Skating Experience *
Please describe skater's ability and/or experience. For skaters who have had previous instruction, please check "Other" and indicate the highest level passed
Scheduling - First Choice *
Please indicate the best day/time for private lessons. We will do our best to accommodate your request, however, your preferred date and time is not guaranteed.
Scheduling - 2nd Choice *
Please indicate an alternative day/time for private lessons. We will do our best to accommodate your request, however, your preferred date and time is not guaranteed.
Misc
Please provide any information you think our coaches may need to schedule your lessons.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report