Private Coaching Request Form
First Name
*
Last Name
*
Phone Number
*
Date of Birth
*
(dd-mm-yyyy)
Email address
*
Rink of Preference
*
Select Main Rink
Avondale - Auckland
Botany - Auckland
Coach
*
Select Coach
Amy Phillips
Ana Matsiborko
Beata Zubkova
Chris Blong
Connie Yang
Dean Timmins
Gordon Rushton
Jasmine Hu
Natasha Woodacre
Nathan Phillips
Reanna Yang
Stepan Kadlcik
Vicky Wang
Highest Skating Academy level passed
*
None
Tiny Tots
Beginner
Elementary
Basic
Novice 1 & Up
Message
*
Add a message for the coach. Please specify your availability, amount of classes, skill level, etc.
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