Private Instruction Form

Please fill out the form below. We will use the information you provide to better prepare ourselves prior to speaking with you, then contact you via your preferred method of communication, and finally determine a mutually acceptable time to work with your dancer. Payments will be due at the time of the lesson.

Payment Structure

  • $60/session for registered students

  • $65/session for non students


Parent's Name *
Parent's Name
Dancer's Name *
Dancer's Name
Phone Number *
Phone Number
Select one
Please select