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Cape Cod Gymnastics
Private Lesson Request
If you are interested in taking private or semi-private lessons, please fill out the form below and we will contact you shortly.
(Starred items are required.)
*
Parent First Name:
*
Parent Last Name:
*
Parent Phone:
ex: 111-111-1111
*
Parent E-Mail:
*
Child Name:
*
Age:
*
Gymnastics_Experience
Yes
No
Goals for the lesson:
Coach Preference (if any)
Male
Female
N/A
Type of Lesson
Private
Semi-private
Semi-Private Lesson - Additional Names
(Optional):
If you wish to schedule a semi-private lesson, please include the names, ages and goals of up to TWO additional children.
Child 2 Name:
Child 2 Age:
Child 2 Gymnastics_Experience
Yes
No
Child 2 Lesson Goals:
Child 3 Name:
Child 3 Age:
Child 3 Gymnastics_Experience
Yes
No
Child 3 Lesson Goals:
Lesson Duration:
Please Select
Half Hour (Private)
Half Hour (Semi-Private)
1-Hour (Private)
1-Hour (Semi-Private)
Time of day
Afternoon
Evening
No Preference
Lesson Date requested:
(If you are only requesting a SINGLE lesson, request the date you want here.)
Lesson Dates Requested:
(For multiple lessons, please request days/times,
i.e.
"4 lessons, every Monday at 3:30pm, starting on June 27."
)
Before submitting this form, please type the characters displayed below:
Code:
Type the 4 characters in the box above.
Submit
