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.
Your answer
Are you 18 years of age or older?
First and Last Name of Student
Please enter the first and last name of the person taking the lesson (only if different from above)
Your answer
Student Birthday
MM
/
DD
/
YYYY
Email Address
Please enter your primary email address for us to contact you.
Your answer
Phone Number
Please enter your primary phone number for us to contact you.
Your answer
Number of Students
Please enter the number of students you wish to have in your Private Lesson.
Lesson Length
Please enter the desire length of your Private Lesson.
Instructor Request
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.
What are you looking to work on?
(Please click all that apply.)
Required
Level of Experience
Required
Special Requests/Experience Details/Other Information
Your answer
Days Available
(Please check all that apply.)
Required
Times of Day
What is the best time of day to schedule your Private Lesson?
Required
Specific Times/Special Requests
Your answer
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