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Jitterbug Performing Arts Pre-Registration Form:

Thank you for your interest in Jitterbug Performing Arts!

Please fill out one pre-registration form per child. After completing and submitting the information below, you will be redirected to the Jitterbug Performing Arts website to complete your registration and payment. You will receive a confirmation email that your pre-registration information was received, which will also include a link to complete your registration on the Jitterbug website in case you encounter any problems with the redirect from the CCS website.
1. Student Last Name:*
2. Student First Name:*
3. Grade Level:*
4. Homeroom Teacher:*
5. Parent Name(s):*
6. Phone Number:*

* Enter Your Email Address: