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NYASC #10 Private Coaching Form
First name
*
Last name
*
Phone
*
Email
*
Your Designation
*
Student / Amateur
Teacher / Professional
Your Partner's Designation
*
Student / Amateur
Teacher / Professional
Name of your partner
*
Your partner's Email
*
What styles are you interested in?
*
American Smooth
American Rhythm
International Latin
International Standard
Which coach would you like to book with? (Select all that apply)
*
Katusha Demidova
Marianne Nicole DePalma
Galina Detkina
Rufus Dustin
David Hamilton
Ilya Ifraimov
Roman Malkhasyan
Alexandra Perzhu
Toni Redpath
Please indicate how many lessons per coach: (e.g. Alexandra Perzhu, 2 lessons)
*
Select the date(s) for your lesson(s):
*
October 18
October 19
October 20
October 21
Select the time of day you want for your lesson(s): (Lesson time will be confirmed by email)
*
Morning (between 8am-12pm)
Afternoon (between 12pm-5:30pm)
Evening (between 5:30pm-8:30pm)
Is there anything else you would like us to know?
How would you like to pay? *Selecting will NOT charge your card. To pay with your card, please go to our Ticket Page.
*
Venmo
Zelle
Cash
Credit Card
Check
Submit
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