Danceworks Private Lesson Request Survey

Contact Name:*

First

Last

Contact Email:*

Contact Phone Number:*

Is the student over 18 years old? If not, what is their age?*

Are you interested in an IN-PERSON or VIRTUAL private lesson?*

In-Person

Virtual

I am interested in both!

Proposed date/date range of lesson(s):*

Proposed time of day/timeframe of lesson(s):*

Proposed duration of lesson(s):*

15 min.

30 min.

45 min.

60 min.

What is the proposed frequency of lesson(s)?*

This will be a one-day private lesson.

This will be an ongoing private lesson series (2 weeks)

This will be an ongoing private lesson series (4 weeks)

This will be an ongoing private lesson series (6 weeks)

This will be an ongoing private lesson series (8 weeks)

If you would like multiple private lessons, please indicate how many lessons per week you are interested in scheduling:

Is there a specific Danceworks faculty person you'd like to book your lesson with? If yes, please write the faculty member's name below. If no, leave the text box blank.

Please share a bit about your movement experience or about any formal dance training you may have.*

Please share any goals you'd like to work toward (example: specific dance style, specific skills such as leaps or turns, audition preparation, etc.)*

Would you like technical instruction only or full choreography? *

Technical instruction only

Full choreography

If you are looking for full choreography, is there a specific song you'll be dancing to? Please list song title:

What else should we know about the private lesson(s)?*