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.  

1
Requested Lesson Type:
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Requested Lesson Date:
3

Requested Lesson Time:

4

Ability Level: 

5
Request Lesson Length of Time:
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   Please Fill Out the Information Below

 *
Please Fill Out the Information Below
7

What is your date of birth?

8
 Please List Any Special Needs:
9

Requested Instructor Information?

10

Please read, understand the following:  

Cancellation policy:  Reservations are final and non-refundable if cancelled within 72 hours of the program start date. Reservations cancelled more than 72 hours before the start date will be refunded minus a 15% cancellation fee, or you may choose to receive the full value of your program credited towards the same program on another day. Credits are valid through December 20, 2019.

Gift cards will not be issued.

I agree to the above:

 *
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