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
Alex Shaw
Ana Matsiborko
Chris Blong
Connie Yang
Gordon Rushton
Natasha Woodacre
Nathan Phillips
Skyla MacDonald
Stepan Kadlcik
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.
Send