CABARRUS DANCE ACADEMY Online Registration

Registration

Already a customer? Click here to login.

Welcome! Enrollment for the 2021-22 has CLOSED EXCEPT FOR WIGGLE & WHIRL. An ACH or Credit Card is required to register online. Please read through the Registration Agreement Text, so that you understand your financial agreement for Summer and the School Term prior to submitting your registration. Payments are processed when received during office hours by a live person.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Disabilites (if none, leave blank)

Special Needs (if none, leave blank)

Allergies (if none, leave blank)

Previous Experience*

VIRTUAL ONLY MARK YES

Classes for the 76th Dance Season(2021-22) will be held in person. Virtual classes only will be offered to dancers who are quarantined due to the Covid-19 virus or who enroll as a Virtual Student for the dance season.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Disabilites (if none, leave blank)

Special Needs (if none, leave blank)

Allergies (if none, leave blank)

Previous Experience*

VIRTUAL ONLY MARK YES

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Disabilites (if none, leave blank)

Special Needs (if none, leave blank)

Allergies (if none, leave blank)

Previous Experience*

VIRTUAL ONLY MARK YES

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Disabilites (if none, leave blank)

Special Needs (if none, leave blank)

Allergies (if none, leave blank)

Previous Experience*

VIRTUAL ONLY MARK YES

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School*

Grade Level*

Disabilites (if none, leave blank)

Special Needs (if none, leave blank)

Allergies (if none, leave blank)

Previous Experience*

VIRTUAL ONLY MARK YES

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)