Registration
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Referral Information
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Family Information
Family Last Name
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Where do you live?
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City
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State
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DC
DE
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Zip
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Primary Phone
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Contact #1
Contact #1 First Name
*
Last Name
*
Type
*
Caregiver
Father
Grandparent
Guardian
Mother
Nanny
Parent
Self
How Can We Contact You?
Home Phone
Work #
Cell #
*
Portal Access (your email is your login)
Email
*
(Emails are kept confidential)
Confirm Email
*
Portal Account Password
Confirm Portal Account Password
Student #1
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Not-Listed
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Intermediate
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Large
Child XX-Small
Toddler
Disabilities (Leave blank if NONE)
Allergies (Leave blank if NONE)
Participate in Recital (Y/N)?
*
Student #2
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Not-Listed
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Intermediate
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Large
Child XX-Small
Toddler
Disabilities (Leave blank if NONE)
Allergies (Leave blank if NONE)
Participate in Recital (Y/N)?
*
Student #3
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Not-Listed
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Intermediate
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Large
Child XX-Small
Toddler
Disabilities (Leave blank if NONE)
Allergies (Leave blank if NONE)
Participate in Recital (Y/N)?
*
Student #4
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Not-Listed
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Intermediate
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Large
Child XX-Small
Toddler
Disabilities (Leave blank if NONE)
Allergies (Leave blank if NONE)
Participate in Recital (Y/N)?
*
Student #5
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Not-Listed
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Intermediate
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Large
Child XX-Small
Toddler
Disabilities (Leave blank if NONE)
Allergies (Leave blank if NONE)
Participate in Recital (Y/N)?
*
Add Another Student
Required Policies
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I Agree to All of the Above
Enter your Full Name
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December 4, 2024
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ME
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MO
MS
MT
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ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
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PR
VI
Zip
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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
.
