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

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 9am-12pm)

Afternoon (between 12pm-5:30pm)

Evening (between 5:30pm-8:30pm)

Is there anything else you would like us to know?

Advanced payment is required to secure lesson bookings. Please select your method of payment.

Venmo

Zelle

Cash

Credit Card