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
Dean Timmins
Emily Yang
Gordon Rushton
Natasha Woodacre
Nathan Phillips
Reanna Yang
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.
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