Registration


Welcome to Premier Championships! Please complete the following registration form. You may log in to your Parent Portal at anytime to keep track of your account. Please call us to enroll or with any questions!

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies
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Questions or Concerns
Payment Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)