Order Form

Parent/Guardian Name: *

Student Name: *

Parent Email Address: *

(order will be confirmed to this email address once payment is processed)

Items Of Interest *

T-shirt Size

Are You Interested In Multiple T-shirts?

How Many Total T-Shirts Would You Like To Order?

T-shirt Size - 2

T-shirt Size - 3

T-shirt Size - 4

T-shirt Size - 5

Last 4 digits of the credit card to be charged from your Premiere Dance Center account *

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