What days are you looking for?

Please Indicate which days you would like to have classes. You may select more than one, as private classes are partially determined by the Instructor's Schedule.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday Afternoon

Sunday

Payment

Preffered Mentod of Payment. Please select how you would like to pay for Private Classes.

Buyer's Information

Buyer's Name

Please provide the name of the one paying for the classes.

First Name

Last Name

Buyer's Email

Please provide the best email of the one paying for the classes.

Address

Please indicate where the buyer is from.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Buyer's Home Phone

Please provide the home number of the one paying for the classes.

Country

(###)

###

####

Buyer's Cellphone

Please provide the cellphone number of the one buying the classes.

Country

(###)

###

####

Preferred mode of contact

Indicate which way is best to contact you. You may select more than one.

Home Phone

Cellphone

Emergency Contact Info

Emergency Contact

First Name

Last Name

Emergency Contact's Cellphone

(###)

###

####

Emergency Contact's Email

Relation to Student

Please let us know how the Emergency Contact is related to the student.

Student's Information

Student's Name

First Name

Last Name

Student's Birthday

YYYY

Additional Information

Please provide any additional information for the student, such as a injuries, medically diagnosed issues, etc. If there is nothing, you may write "N/A" or "Nothing".

Additonal Students

If you have more than one student you wish to enroll in private classes, fill out the information below. If there are no other students, go ahead and skip this section.

Student's Name

First Name

Last Name

Student's Birthday

YYYY

Additional Information

Student's Name

First Name

Last Name

Student's Birthday

YYYY

Additional Information

Student's Name

First Name

Last Name

Student's Birthday

YYYY

Additional Information

Agreement

By signing your name below, you are agreeing to the following: I am enrolling myself and/or child in private classes at Martial Arts Institute of the Berkshires (MAIB) at the agreed upon rate listed on at the top of this webpage. I understand that prices/rates may change at any given time as needed by MAIB. I also understand that it is my shared responsibility with the Instructor to let the other party know if I am unable to make a class, just as it is the Instructor's responsilbilty to let me know if they can not make a class. One of MAIB's top poriorities is keep me and/or child safe. MAIB is not responsible for any injuries stemming from the misuse of the Martial Arts outside the school.

Please sign your name and the date below.

YYYY

Private Lessons

Please complete the form below if you are interested in private lessons. Availability is subjected to each Instructor or Masters own personal schedule. Please check below for rates, which depend on the rank of the instructor or master.

There is an additional form if you wish to enroll in private classes. Scroll down to fill out the Private Class Enrollment form.

Instructors (1st Degree through 3rd Degree): 100 - 125/hr

Masters (4th Degree through 6th Degree): 150 - 175/hr

Grandmaster (7th Degree and up): 250 - and up

Enrollment Form

Fill out the form to the right if you are certain you would like private classes. The rates that are listed at the top of this page may change at any given time based on the rights and needs of MAIB.