Phone * Emergency Contact Info Emergency Contact Phone Number * Student Info Is the student under the age of 18? * No Yes What are the student's preferred pronoun(s)? he/him she/her they/them Are rental skates required? Yes No
Rentals are provided free of charge for paid lessons.
If yes, what size. Please specify Men's Women's or Kids sizing. Lesson Details
To help us pair you with an instructor please provide the following information:
Preferred day(s) of week for lesson(s): * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred time of day for lesson(s): * 8:00 AM - 10:00 AM 10:00 AM - 12:00 PM 12:00 PM - 2:00 PM 2:00 PM - 4:00 PM 4:00 PM - 6:00 PM 6:00 PM - 8:00 PM Anytime during the day Other
Pick a desired 2 hour time block for your lesson. You can choose more than one time block. We will make every effort to schedule your lesson in your chosen time block(s), based on instructor availability.
Indicate your preferred geographical location(s) for your lesson, or choose no preference. * No preference Westshore Victoria Esquimalt Oak bay Saanich Central Saanich North Saanich/Sidney Sooke/Metchosin How long would you like the lesson to be? (30 minutes minimum) * 30 Mins (Recommended) 45 Mins 60 Mins 1 Hr 15 Mins 1 Hr 30 Mins Please choose the roller skating level/experience that best describes the student's current skill level. Never skated before (New skater) A few drop in classes attended (Beginner skater) Multiple classes taken (Intermediate skater) Experienced skater Currently enrolled in Roller Skate Victoria Dance Academy Other skating experience, please describe (optional) Indicate your desired area of discipline you'd like your lesson to focus on Roller Dance Artistic Skating Figure Skating Jam Skating Inline (Rollerblade) Skating Edges Pairs Skating Roller Derby I'm not sure. Let's discuss it. What other roller skating skills do you want to work on with your instructor? Any additional information you feel your instructor should know prior to your lesson? Is this lesson for one skater or a group of skaters? Single skater Group of skaters Would you like to set up a recurring lesson? Yes, weekly Yes, every other week Yes, monthly One for now, let's re-evaluate at end of lesson