New Private Student Intake

New private Student Intake

Your lesson is booked!

Please fill out the following form no later than 24 hours before lesson start time.

Student Name

First Name

Last Name

Student DOB

Emergency Contact Name and Phone Number

Lesson Venue

Please describe the scope of your training thus far...

Please describe any current or previous injuries...

Is there anything else you'd like to share with us before your lesson?

Private Lesson Terms and Conditions

I have read and agree to terms and conditions found here : amynovinski.com/privatelessontermsandconditions

Yes

Ballet Student Waiver

I have read and agree to the Ballet Student Waiver found here : amynovinski.com/balletstudentwaiver

Yes