RESCHEDULE REQUEST

Name *

First Name

Last Name

Which lesson would you like to reschedule? *

(Please note: 24 hour notice is required to reschedule all lessons to avoid forfeiture of the lesson. Extenuating circumstances may be reviewed, but are not guaranteed on submission of this request.)

MM

DD

YYYY

The lesson I'm requesting to reschedule is: *

within 24 hours

NOT within 24 hours

in the past

Date Requested

MM

DD

YYYY

Time Requested

Hour

Minute

Second

AM PM

Mondays: *

11:00am or earlier

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm

6:00pm or later

I am NOT available on Mondays

Wednesdays: *

11:00am or earlier

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm

6:00pm or later

I am NOT available on Wednesdays

Thursdays: *

11:00am or earlier

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm

6:00pm or later

I am NOT available on Thursdays

Fridays: *

11:00am or earlier

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm

6:00pm or later

I am NOT available on Fridays

Saturdays: *

8:00am

9:00am

10:00am

11:00am

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm or later

I am NOT available on Saturdays

Sundays: *

8:00am

9:00am

10:00am

11:00am

12:00pm

1:00pm

2:00pm

3:00pm

4:00pm

5:00pm or later

I am NOT available on Sundays