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:

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 canceled within 72 hours of the program start date. Reservations canceled 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 for 1 year from the date of cancellation.  

Gift cards will not be issued.

I agree to the above:

 *
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