Book Your Private Class

Organizer First Name*

Please note that the Organizer will be the sole point of contact with our office.

Organizer Last Name*

Organization you are affiliated with

E.g. Daycare, School, etc.

Organizer Email*

Organizer Contact Number*

Your Child's Name and Birthdate

Child First Name	Child Last Name	Child Birthdate

How many children will be in attendance?

*There is no minimum or maximum number of children, but more than 12 kids is not recommended

Address of Classes*

Street AddressAddress Line 2CityProvincePostal Code

*Classes must be at the same time and location each week

How many weeks of class would you like to book?*

When booking a 12 week private class session, classes must run from the week of January 4th to the week of March 21st.

When would you like your session to start?*

Preferred Day*

Preferred Time of Classes*

: HH

MM

Are you flexible on your date or time of day?*

Preferred Instructor*

*MRM reserves the right to change the teacher if necessary (e.g. Due to illness, schedule problems, etc.)

Any additional info you'd like to include or questions you have: