Packholder First Name Required field

Packholder Last Name Required field

Packholder Email Required field

Packholder Phone Number Required field

PARTICIPANT 1

Student First Name Required field

Student Last Name Required field

Date of Birth Required field

Lesson Type Required field

Do you need a lift ticket for your lesson?

Which time would you like for your lesson?

Desired Date of Lesson Required field

If the participant is under the age of 14 please fill out the section below.

Medications, Drugs, Allergies or Special Conditions?

Yes No

Please provide details

1st Emergency Contact First & Last Name & Phone Number

2nd Emergency Contact First & Last Name & Phone Number

PARTICIPANT 2

Student First Name

Student Last Name

Date of Birth

Lesson Type

Do you need a lift ticket for your lesson?

Which time would you like for your lesson?

Desired Date of Lesson

If the participant is under the age of 14 please fill out the section below.

Medications, Drugs, Allergies or Special Conditions?

Yes No

Please provide details

1st Emergency Contact First & Last Name & Phone Number

2nd Emergency Contact First & Last Name & Phone Number

PARTICIPANT 3

Student First Name

Student Last Name

Date of Birth

Lesson Type

Do you need a lift ticket for your lesson?

Which time would you like for your lesson?

Desired Date of Lesson

If the participant is under the age of 14 please fill out the section below.

Medications, Drugs, Allergies or Special Conditions?

Yes No

Please provide details

1st Emergency Contact First & Last Name & Phone Number

2nd Emergency Contact First & Last Name & Phone Number

PARTICIPANT 4

Student First Name

Student Last Name

Date of Birth

Lesson Type

Do you need a lift ticket for your lesson?

Which time would you like for your lesson?

Desired Date of Lesson

If the participant is under the age of 14 please fill out the section below.

Medications, Drugs, Allergies or Special Conditions?

Yes No

Please provide details

1st Emergency Contact Phone Number

2nd emergency Contact Phone Number

PARTICIPANT 5

Student First Name

Student Last Name

Date of BIrth

Lesson Type (5)

Do you need a lift ticket for your lesson?

Which time would you like for your lesson?

Desired Date of Lesson

If the participant is under the age of 14 please fill out the section below.

Medications, Drugs, Allergies, or Special Conditions?

Yes No

Please provide details

1st Emergency Contact First & Last Name & Phone Number

2nd Emergency Contact First & Last Name & Phone Number

Lesson Pack Prebook Form

Prebook after purchasing your 5 Pack

Lessons sell out quickly, booking as early as possible is the best way to secure a spot. All lessons must be prebooked at least 72 hours in advance online. Lift access is required for all lessons.

Lesson Participant Information. Please fill out this section for each participant in the Lesson.

PARTICIPANT 1

PARTICIPANT 2

PARTICIPANT 3

PARTICIPANT 4

PARTICIPANT 5