NYASC #10 Private Coaching Form

Disclaimer:

Please note this form is only a request and used to collect your information. Submitting it does not guarantee a lesson with your requested coach. Scheduling will depend on coach availability. If your requested coach is fully booked, we will assign you to another qualified coach.

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

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.