Crazy Moves Dance Studio Online Registration

Registration

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Hello and Welcome to Crazy Moves Dance Studio! The following form is your registration for our studio and our Jackrabbit Dance System. This system will give you access to our Parent Portal where you can view your bills, make payments, sign up for classes and events, view your current class information, and message us. Thank you for enrolling in classes at Crazy Moves Dance Studio, we can't wait to make your family's Crazy Dreams Come True!

* 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 *

Relation 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

Contact #2

Contact #2 First Name*

Last Name*

Relation to Student*

How can we contact you?

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

You can now select your class('s) below. To make finding the class you want easier, locate the search button in the upper left hand corner to apply filters.

If registering for our free trial class pass, select "free trial class pass" class option. We will reach out to you with a schedule of classes to attend!

If you are unable to select a class or need help finding the right class for your student, please contact us at (561) 374-2860.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

You can now select your class('s) below. To make finding the class you want easier, locate the search button in the upper left hand corner to apply filters.

If registering for our free trial class pass, select "free trial class pass" class option. We will reach out to you with a schedule of classes to attend!

If you are unable to select a class or need help finding the right class for your student, please contact us at (561) 374-2860.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

You can now select your class('s) below. To make finding the class you want easier, locate the search button in the upper left hand corner to apply filters.

If registering for our free trial class pass, select "free trial class pass" class option. We will reach out to you with a schedule of classes to attend!

If you are unable to select a class or need help finding the right class for your student, please contact us at (561) 374-2860.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

You can now select your class('s) below. To make finding the class you want easier, locate the search button in the upper left hand corner to apply filters.

If registering for our free trial class pass, select "free trial class pass" class option. We will reach out to you with a schedule of classes to attend!

If you are unable to select a class or need help finding the right class for your student, please contact us at (561) 374-2860.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

You can now select your class('s) below. To make finding the class you want easier, locate the search button in the upper left hand corner to apply filters.

If registering for our free trial class pass, select "free trial class pass" class option. We will reach out to you with a schedule of classes to attend!

If you are unable to select a class or need help finding the right class for your student, please contact us at (561) 374-2860.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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

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 .

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

Credit Card

Required Policies

(Show-Hide Details)