Name of the Parent/Guardian * First Name Last Name Student Name * First Name Last Name Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Age * Date of Birth MM DD YYYY Message: Send us any questions you have. Select your child's class Please select class depends on their age. Little Stars (3-6 yrs) Kid Stars (7-11 yrs) Teen Stars (11-12 yrs) Young Adult Stars (18 yrs +) Does the student specific access needs? Thank you! BOOK A TRIAL! See Perform Ability Website. FOR ONLY $34/WEEK