New student form

Please read thru the Lessons Policies before completing this form.

You ready to get started? Let's do this! Fill out the below form to get the ball rolling.  This information is needed for all students.  If your information changes, please notify Anna so she can keep her records up to date.

Name *
Name
Phone *
Phone
Student Name
Student Name
If student is under 18
Student Phone
Student Phone
Birthdate
Birthdate
If student is under 18
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Interested in: *
Select all that apply
Preferred Days/Times of week *
Select all that apply
For students ages 5-12 I recommend a minimum of 10-15 minutes, 5 days a week.

 

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Denver, CO