PRIVATE LESSON REQUEST
PLEASE CONTACT US IF YOU HAVE ANY QUESTIONS:
Charlotte Batty | 705.441.6221 or charlotte@miniiadventures.com
NAME *
Your answer
ADDRESS *
Your answer
EMAIL *
Your answer
PHONE *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
EMERGENCY CONTACT *
Your answer
EMERGENCY CONTACT PHONE *
Your answer
WHAT IS THE BEST METHOD TO CONTACT YOU TO BOOK YOUR PRIVATE LESSON? *
WHAT LENGTH OF LESSON WOULD YOU LIKE TO BOOK FOR? *
HOW MANY RIDERS WILL BE PARTICIPATING? *
DO YOU HAVE A PREFERRED LOCATION?
Your answer
WHICH WORKS BETTER FOR YOUR AVAILABILITY: *
WHAT TIME OF DAY WORKS BEST FOR YOUR AVAILABILITY: *
ANY ALLERGIES / HEALTH CONCERNS / DIETARY RESTRICTIONS, ETC THAT WE SHOULD BE AWARE OF?
Your answer
HOW MANY SEASONS HAVE YOU BEEN MOUNTAIN BIKING REGULARLY? (AT LEAST ONCE PER WEEK IN YOUR RIDING SEASON) *
WHAT LEVEL OF RIDER DO YOU CONSIDER YOURSELF? PLEASE REFER TO https://www.miniiadventures.com/how-to-rate-your-skill-level *
WHAT IS YOUR PARTICULAR GOAL OR SKILL YOU WANT TO ACCOMPLISH? *
Your answer
HAVE YOU TAKEN A MOUNTAIN BIKE CLINIC OR LESSON BEFORE? IF YES, WHAT DID YOU LEARN? *
Your answer
WHAT KIND OF PEDALS DO YOU RIDE MOST FREQUENTLY? *
WHAT BIKE ARE YOU CURRENTLY RIDING? (MAKE/MODEL/YEAR) *
Your answer
WOULD YOU LIKE TO RECEIVE THE OCCASIONAL EMAIL ABOUT UPCOMING EVENTS AND TIPS TO BETTER YOUR RIDING? *
HOW DID YOU HEAR ABOUT MINII ADVENTURES? *
Required
DO YOU HAVE ANY DISCOUNT CODES TO USE?
Your answer
ANYTHING ELSE WE SHOULD KNOW?
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Minii Adventures. Report Abuse