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Premier Kids Initial Onboarding
Please fill out the questions below and we'll get your child(ren) set up in our system. Once set up, we will contact you with all your next steps!
8
Questions
START
1
Primary Contact Name
*
This field is required.
Parent/Guardian
First Name
Last Name
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2
Primary Contact Email
*
This field is required.
Parent/Guardian
example@example.com
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3
Primary Contact Phone Number
*
This field is required.
Parent/Guardian
Please enter a valid phone number.
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4
Secondary Contact Name
Parent/Guardian - Optional
First Name
Last Name
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5
Secondary Contact Email
Parent/Guardian - Optional
example@example.com
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6
Secondary Contact Phone Number
Parent/Guardian - Optional
Please enter a valid phone number.
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7
Child Information
*
This field is required.
Click Add Child to add information for another child. Click the x to remove a child
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8
Please verify that you are human
*
This field is required.
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