AIM Pickering - Private Lesson Request Form
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Email *
Parent/Guardian Name *
Phone Number *
Student Name *
Student Birthday *
MM
/
DD
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YYYY
Type of lesson *
Length of lesson *
What is your athlete looking to work on in the lesson? *
Coach preference (please note, we cannot guarantee a coach's availability) *
Questions?
I understand that my payment method on file will be used for this lesson. *
A copy of your responses will be emailed to the address you provided.
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