Creative Arts Center of Helena Online Registration

Registration

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Welcome to the Jackrabbit Registration Page for the Creative Arts Center & the Montana Dance Arts Association. Each family needs their own account. MDAA teachers do not register their students. Classes must be chosen to complete the registration process. If you attended past MDAA Workshops, you already have a MDAA Jackrabbit Account. Call Charlene at 406-459-6337 if you need your log-in information.

* 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*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Academic School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

ALL: New Student Yes? No?*

To choose your classes, please click on the SELECT CLASS button below.

For MDAA Registration ONLY:
FIRST: Choose either MDAA FALL Student 1, 2, or 3-Day Pass. Teachers, please choose MDAA FALL Professional 1, 2, or 3-Day Pass.

SECOND: Choose each individual class you plan to attend. You must choose individual classes to be enrolled in those classes. Simply having a PASS does not enroll you in specific classes. Choose only classes that are first labeled "MDAA".

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Academic School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

ALL: New Student Yes? No?*

To choose your classes, please click on the SELECT CLASS button below.

For MDAA Registration ONLY:
FIRST: Choose either MDAA FALL Student 1, 2, or 3-Day Pass. Teachers, please choose MDAA FALL Professional 1, 2, or 3-Day Pass.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Academic School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

ALL: New Student Yes? No?*

To choose your classes, please click on the SELECT CLASS button below.

For MDAA Registration ONLY:
FIRST: Choose either MDAA FALL Student 1, 2, or 3-Day Pass. Teachers, please choose MDAA FALL Professional 1, 2, or 3-Day Pass.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Academic School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

ALL: New Student Yes? No?*

To choose your classes, please click on the SELECT CLASS button below.

For MDAA Registration ONLY:
FIRST: Choose either MDAA FALL Student 1, 2, or 3-Day Pass. Teachers, please choose MDAA FALL Professional 1, 2, or 3-Day Pass.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Academic School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

ALL: New Student Yes? No?*

To choose your classes, please click on the SELECT CLASS button below.

For MDAA Registration ONLY:
FIRST: Choose either MDAA FALL Student 1, 2, or 3-Day Pass. Teachers, please choose MDAA FALL Professional 1, 2, or 3-Day Pass.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Please fill out CREDIT CARD Payment Method

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

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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

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)