Virtual Academy Individual Coaching Request

Student Name*

First Last

Student Grade in Fall 2020*

Private Coaching is only available for students in 4th grade and older.

Date of Birth*

Has your student participated in Theatre Arts Training classes?*

Yes
No

Guardian Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Creating the Right Lessons for You!

Type of Coaching*

Monologue
Song

Please tell us about your students previous experience

Please tell us what you hope to accomplish in private coaching

Describe your students ideal learning environment:

characteristics of an ideal teaching artist, student learning styles, learning accommodations, etc.

Availability

Please indicate the times and days you are available to attend lessons.*

Enter available times for each day in the boxes below. You can add more than one time-frame per day by clicking the "+" on the right-hand side. If you are unavailable on a day, please leave the box blank or enter "N/A"

Sundays	Mondays	Tuesdays	Wednesdays	Thursdays	Fridays	Saturdays

How many sessions would you like to schedule*

each session is 1 hour long

4 session bundle | $220
8 session bundle | $400

Required Acknowledgments

I understand that a parent/guardian must be present for all private coaching sessions and give permission for the coaching session to be recorded for safety and archival purposes.*

Yes

Is there any other information you would like to provide?

Name

This field is for validation purposes and should be left unchanged.

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2021 - 2022 Season

Creating the Right Lessons for You!

Availability

Required Acknowledgments