SHOW Circus Private Lesson Request Form
All private lesson forms must be filled out by a student or guardian that is 18+.
Please enter the first and last name of the person we will get back to.
Are you 18 years of age or older?
No (Please have a guardian that is 18+ fill out this form)
First and Last Name of Student
Please enter the first and last name of the person taking the lesson (only if different from above)
Please enter your primary email address for us to contact you.
Please enter your primary phone number for us to contact you.
Number of Students
Please enter the number of students you wish to have in your Private Lesson.
4+ (Family Lesson)
Please enter the desire length of your Private Lesson.
1 hour (Ages 7+) (Recommended for most students, especially those new to circus)
1.5 hours (Ages 7+)
2 + hours (Ages 7+)
30 Minutes (Youth Private, Ages 7-16 Only) (1 hour lesson is recommended for most students)
30 Minute Class Placement Evaluation/Trial (Ages 3+, One time; Nonrecurring)
If you have an instructor you'd prefer to work with please pick them from the list below, otherwise choose "any instructor." While we can't guarantee an instructor, please feel free to request one and we'll do our best to accommodate.
Maggie the Clown
What are you looking to work on?
(Please click all that apply.)
Duo Aerials (Specify Trapeze/Lyra/Fabric in notes)
Level of Experience
New to Circus
Unsure (Add details in box below)
Special Requests/Experience Details/Other Information
(Please check all that apply.)
Times of Day
What is the best time of day to schedule your Private Lesson?
Mornings (9am - 12pm)
Afternoons (12pm - 5pm)
Evenings (5pm - 9pm)
Specific Times/Special Requests
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