Lesson Request Form
Please complete the form below so that we may best assist you!
Name: *
Your answer
Student Age: *
Your answer
Type of Instruction
Please specify which type of instruction you are looking for. If you are seeking semi-private/group instruction, please provide the name of others you would like to participate with in "other" tab.
Preferred days of the week
Preferred time of day
Instructor preference
Club Membership
Are you a current member of Southern Village Club?
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