Registration
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Referral Information
How did you hear about us?
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Existing Student
Jr. Team
Mini Team
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Referral
Shooting Squad
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Website
Referral Name
Family Information
Family Last Name
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Where do you live?
Home Address
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City
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State
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AK
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DE
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IA
ID
IL
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KY
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MT
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Zip
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Primary Phone
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Contact #1
Contact #1 First Name
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Last Name
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How Can We Contact You?
Work #
Cell #
Portal Access (your email is your login)
Email
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(Emails are kept confidential)
Confirm Email
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Portal Account Password
Confirm Portal Account Password
Student #1
Student's First Name
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Last Name
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Student Gender
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Female
Male
Birth Date
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Additional Info
School
Grade Level
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #2
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
Additional Info
School
Grade Level
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #3
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
Additional Info
School
Grade Level
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #4
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
Additional Info
School
Grade Level
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Student #5
(Show-Hide Details)
Student's First Name
*
Last Name
*
Student Gender
*
Female
Male
Birth Date
*
Additional Info
School
Grade Level
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Special Needs (Leave blank if NONE)
Allergies (Leave blank if NONE)
Add Another Student
Required Policies
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Enter your Full Name
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December 3, 2024
Questions or Concerns
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Account Information
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Auto Pay 1st of Month
Pay Full Fall Session Sep-June
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Address Line 1
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ID
IL
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KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OH
OK
OR
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RI
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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
.
