Academic Support

Premier Plus Consultants

Preparing today's students for tomorrow's opportunities

Allergies/Illness/Ailments *

BY CLICKING ACCEPT ON THIS REGISTRATION FORM, I AGREE TO THE TERMS OF AGREEMENT OF PREMIER PLUS CONSULTANTS *

PLEASE SELECT THE ACADEMIC SUPPORT FOR WHICH YOU ARE REGISTERING FOR *

Emergency Contact & Contact Number *

Shirt Size *

BY CLICKING ACCEPT ON THIS REGISTRATION FORM, I AGREE TO FULFILL MY FINANCIAL COMMITMENT TO PREMIER PLUS CONSULTANTS *

Do not accept

Current School & Grade *

Gender *

Coach/Former Coach Name & Contact Number *

Parent/Guardian's Email *

Child's Physician & Contact Number *

Select Month for Participation *

Current Age *

Parent/Guardian's Workplace *

YEARLY REGISTRATION FEE -----$50.00 *

Do not accept

Phone *

Pants Size *

Date of Birth *

Name: *

Address *

Email: *

Check here to receive email updates

Parent/Guardian's Name & Contact Number *

ACADEMIC SUPPORT LEVELS (Classroom):

ONLINE ACADEMIC SUPPORT CHECK LIST

All Academic Support will have the University Support with it where applicable to the students.

After completing the academic registration form above, please email the completed form to academc.premierplusconsultants@gmail.com.