Private Lesson Request for Reservation

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Please correct the field(s) marked in red below:

This is a request for a Reservation and not an actual reservation.  

A Belleayre sales representative will be in contact with you finish your request.  

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Requested Lesson Type:
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Requested Lesson Date:
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Requested Lesson Time:

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Ability Level: 

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Request Lesson Length of Time:
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   Please Fill Out the Information Below

 *
Please Fill Out the Information Below
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What is your date of birth?

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 Please List Any Special Needs:
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Requested Instructor Information?

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Please read, understand the following:  

Reservations are to be paid in full at the time of booking. There are no refunds. Changes made more than 72 hours before the reserved date may be rescheduled with no fees. Changes made between 48 & 72 hours prior will be rescheduled with a $5 fee per lesson (item/person). Changes made between 24 & 48 hours may be rescheduled with a $10 fee per lesson (item/person). Changes made less than 24 hours prior to the reservation date will not be allowed. At that point reservations will be forfeited if you do not show.

I agree to the above:

 *
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