Private Lesson Request | WJ Dance

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First name*

Last name*

Email*

Phone*

Age*

Solo, Duo, or Group Class?*

Solo

Duo

Group Class

Dance Experience*

No experience

Beginner

Intermediate

Advanced

Preferred Days for Lessons *

Preferred Time Slots *

Start Date or Timeframe *

Preferred Instructor*

Dance Style / Focus Area*

Preferred Length of Each Lesson*

60min

90min

120min

Other

How Often Do You Want Lessons?*

What Are You Hoping to Work On or Improve?*

Additional Notes or Questions?

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