Spring Classes 2021 Registration

We thank you for your interest in our Spring 2021 Classes. Please use the following form to register your student. Note that a credit card payment will be required to complete registration during this process. If you would like to schedule another type of payment method, please do not use this form and contact us at (219) 841-2266. Thank you.
Student Information
Student Full Name *

First Name Middle Name Last Name
Birthday *

Month Day Year
Age *
Gender *
Grade *
School *
Allergies/Special Behavioral/Emotional Needs?
Parent/Guardian Information
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone

Area Code Phone Number
Cell Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Preferred Phone *
Note: Premier Performance will use the provided e-mail address as a primary source of communication throughout the class session(s). If you would like additional people to recieve these messages, please provide a secondary e-mail address.
Primary E-mail *
Secondary E-mail

Please Select *

Sleeping Beauty $ 95.00

Deposit Kids Company (Grades 1-4)

Theatre T-Shirt $ 15.00

Spring '21 Broadway Bootcamp Shirt

T-Shirt

Registration Fees $ 10.00

This covers the online processing fees.

Total $ 0.00

Final Page
Refund Policy *

Please check to acknowledge the refund policy: there are no refunds at any time for any reason. Once a student is enrolled in the class, a spot is being saved for them. After registration, there is a 24-hour grace period to cancel without penalty. If a student chooses to withdraw from the class after the grace period, but before the first day of class, you will lose any tuition already paid & processed. If possible, we do need to know if a student is choosing to withdraw from the class at least 72 hours in advance so we can rework the class structure or open up the waiting list (if applicable). After classes have begun, should a student willingly drop from the class or be asked to leave due to poor behavior/performance, a refund will not be given.
Discounts

Please note that all discounts will be calculated at the time of registration and applied to the approproate payments as determined by our office. Limited to one discount per participating family.
How Did You Hear About Us? *
Anticipated Conflicts: Please list any potential dates that may conflict during the camp session(s).
Should be Empty:

Student Information