I Can Do That Online Registration

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Welcome! Please fill out the required fields below to create your account with us. Once information is entered, you may view our current offerings and enroll in classes at ICDT! Adults who wish to take class: you will need to add yourself as the contact AND the student!

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Additional Info

Emergency Contact (Name & Phone Number)*

Contact #1

Contact #1 First Name*

Last Name *

Relationship to Student

How Can We Contact You?

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Special Needs / Allergies / Medications / Comments (Leave blank if NONE)

Click the blue button to view available classes in your student's age range. Adults, you will need to add yourself as a student if you are enrolling in a class. If a class says "Wait List", you may add your name and we will contact you if a spot opens up. There is no charge to be added to the waitlist!

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Special Needs / Allergies / Medications / Comments (Leave blank if NONE)

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Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Special Needs / Allergies / Medications / Comments (Leave blank if NONE)

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Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Special Needs / Allergies / Medications / Comments (Leave blank if NONE)

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Special Needs / Allergies / Medications / Comments (Leave blank if NONE)

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Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Payment Plan*

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*

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)

Who is your employer?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

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