Dance Etc. School of the Arts Online Registration

Registration

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Welcome to Dance Etc. School of the Arts and our parent and registration portal. Please complete your registration and select submit when complete. Once you register and agree to our policies, we will invoice your account. Please email us if you are a returning family or military family and need your registration fee reduced or waived. Thank you! Dance Etc. registrar.danceetc@gmail.com

* 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)*

Health Insurance Carrier

Military Y/N*

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

T-Shirt Size*

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor Name and Telephone Number*

Photo Release Y/N*

Recital Participation Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

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

T-Shirt Size*

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor Name and Telephone Number*

Photo Release Y/N*

Recital Participation Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

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

T-Shirt Size*

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor Name and Telephone Number*

Photo Release Y/N*

Recital Participation Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

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

T-Shirt Size*

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor Name and Telephone Number*

Photo Release Y/N*

Recital Participation Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

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

T-Shirt Size*

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor Name and Telephone Number*

Photo Release Y/N*

Recital Participation Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Membership Type*

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
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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

Required Policies

(Show-Hide Details)