Dance Showcase Company Online Registration

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Welcome to Dance Showcase Company!

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Referral Information

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Referral Name

Family Information

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Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (if parents can't be reached)

Contact #1

Contact #1 First Name*

Last Name *

Type

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Home Phone

Work #

Cell #

Portal Access (your email is your login)

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Confirm Portal Account Password

Contact #2

Contact #2 First Name

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email (optional)

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

DRESS CODE for Dance Classes

COMBO CLASSES – Any dance wear (leotard - any color, tights, skirt, jazz pants, booty shorts, etc.) pink ballet slippers & black tap shoes.

JAZZ CLASSES – Any dance wear (leotard - any color, tights, jazz pants, booty shorts, etc.) & tan turners. Hair pulled back.

HIP HOP CLASSES – Pretty much anything goes & gym shoes.

BALLET & TECHNIQUE CLASSES – Dance wear (leotard, tights, jazz pants, booty shorts, etc.) and pink ballet shoes or tan turners. Hair pulled back.

ACRO CLASSES – Dance wear (leotard, footless tights, jazz pants, booty shorts etc. No baggy clothing.) and bare feet.

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 (optional)

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

DRESS CODE for Dance Classes

COMBO CLASSES – Any dance wear (leotard - any color, tights, skirt, jazz pants, booty shorts, etc.) pink ballet slippers & black tap shoes.

JAZZ CLASSES – Any dance wear (leotard - any color, tights, jazz pants, booty shorts, etc.) & tan turners. Hair pulled back.

HIP HOP CLASSES – Pretty much anything goes & gym shoes.

BALLET & TECHNIQUE CLASSES – Dance wear (leotard, tights, jazz pants, booty shorts, etc.) and pink ballet shoes or tan turners. Hair pulled back.

ACRO CLASSES – Dance wear (leotard, footless tights, jazz pants, booty shorts etc. No baggy clothing.) and bare feet.

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 (optional)

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

DRESS CODE for Dance Classes

COMBO CLASSES – Any dance wear (leotard - any color, tights, skirt, jazz pants, booty shorts, etc.) pink ballet slippers & black tap shoes.

JAZZ CLASSES – Any dance wear (leotard - any color, tights, jazz pants, booty shorts, etc.) & tan turners. Hair pulled back.

HIP HOP CLASSES – Pretty much anything goes & gym shoes.

BALLET & TECHNIQUE CLASSES – Dance wear (leotard, tights, jazz pants, booty shorts, etc.) and pink ballet shoes or tan turners. Hair pulled back.

ACRO CLASSES – Dance wear (leotard, footless tights, jazz pants, booty shorts etc. No baggy clothing.) and bare feet.

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 (optional)

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

DRESS CODE for Dance Classes

COMBO CLASSES – Any dance wear (leotard - any color, tights, skirt, jazz pants, booty shorts, etc.) pink ballet slippers & black tap shoes.

JAZZ CLASSES – Any dance wear (leotard - any color, tights, jazz pants, booty shorts, etc.) & tan turners. Hair pulled back.

HIP HOP CLASSES – Pretty much anything goes & gym shoes.

BALLET & TECHNIQUE CLASSES – Dance wear (leotard, tights, jazz pants, booty shorts, etc.) and pink ballet shoes or tan turners. Hair pulled back.

ACRO CLASSES – Dance wear (leotard, footless tights, jazz pants, booty shorts etc. No baggy clothing.) and bare feet.

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 (optional)

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

DRESS CODE for Dance Classes

COMBO CLASSES – Any dance wear (leotard - any color, tights, skirt, jazz pants, booty shorts, etc.) pink ballet slippers & black tap shoes.

JAZZ CLASSES – Any dance wear (leotard - any color, tights, jazz pants, booty shorts, etc.) & tan turners. Hair pulled back.

HIP HOP CLASSES – Pretty much anything goes & gym shoes.

BALLET & TECHNIQUE CLASSES – Dance wear (leotard, tights, jazz pants, booty shorts, etc.) and pink ballet shoes or tan turners. Hair pulled back.

ACRO CLASSES – Dance wear (leotard, footless tights, jazz pants, booty shorts etc. No baggy clothing.) and bare feet.

Enroll in Classes

Select Class

Add Another Student

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Your Account Name (Your name on your bank statement)

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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

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How can we contact you?

Student #1

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Student #3 (Show-Hide Details)

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