Durham School for Ballet & the Performing Arts Online Registration

Registration

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Welcome to Durham School for Ballet & the Performing Arts! We ask all of our New Families to begin with completing the Registration Information in JackRabbit Registration software. ~ If you were enrolled during the previous year you already have an account. ~ If you have forgotten your password select Forgot Password and your temporary password will be emailed to you.

* denotes required fields

Referral Information

How did you hear about us?

Student Information

Student Last Name Last Name*

Where do you live?

City*

Home or Primary Phone*

Contact #1

Responsible Party First Name*

Last Name *

Relationship to student*

How Can We Contact You?

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's Identified Gender

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

Additional Info

Student Email

Educational School

Grade Level

Preferred Pronouns

Please click on the Search button below, then choose a class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Identified Gender

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

Additional Info

Student Email

Educational School

Grade Level

Preferred Pronouns

Please click on the Search button below, then choose a class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Identified Gender

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

Additional Info

Student Email

Educational School

Grade Level

Preferred Pronouns

Please click on the Search button below, then choose a class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Identified Gender

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

Additional Info

Student Email

Educational School

Grade Level

Preferred Pronouns

Please click on the Search button below, then choose a class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Identified Gender

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

Additional Info

Student Email

Educational School

Grade Level

Preferred Pronouns

Please click on the Search button below, then choose a class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Liability Waiver

Durham School for Ballet and the Performing Arts Virtual Training

I, the responsible party hereby waive any, and all claims against DSBPA, and its staff for any liability including, but not limited to: personal/bodily injury and/or death, any property loss or damage during involvement in any class, rehearsal, performance or activity with DSBPA staff. I acknowledge that student participation is voluntary, and therefore as the undersigned acknowledge potential injury associated with the physical aspects of training.

I understand that I hereby release DSBPA, its contractors, volunteers, and agents from any and all liability, cost/expense associated with any injury or illness myself or my child may sustain while participating in any of the virtual programs

I've read the above and agree.

Payment Policy

I understand payment is due upon registration of class(es) and I will receive a discount of 10% if I register for at least 2 classes and a 10% discount if I register for at least 3 classes.

I've read the above and agree.

Photo Waiver

I, the undersigned responsible party, hereby grant permission to DSBPA to use and/or reproduce photographs of my child for use in any legal manner, and for the use in promotional information to be distributed internally and externally regarding DSBPA. I understand that by signing this release, I waive any, and all future compensation rights to the use of the above stated material/s.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

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