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Private Instruction Request Form

  1. Trainer Gender Preference
  2. By submitting this form, I understand this does not secure a private instruction meeting, but the instructor will reach out at a later date to set up a meeting. I also understand the full payment will be due at the time of securing the meeting time (unless a payment plan is mutually decided on) and will be non-refundable after instruction begins.

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  4. This field is not part of the form submission.