Fill in the following information to have your credit or debit card automatically charged your account balance each month.
Email address *
Family Name *
As registered online in your Jackrabbit account
Your answer
Dancer Name(s)
Helps us credit your account if your dancer's name is different from the person paying, or the family account name.
Your answer
Name as on Card *
Your answer
Card Type *
Card Number *
Your answer
Expiration Date *
Enter in MM/YR format.
Your answer
Security Code Number *
Please enter the 3-digit security code found on the backside of your card.
Your answer
Billing address with zip code *
Your answer
Your payment info will be processed as directed.
Expect your account balance to be charged in full during the time period of the 1st-5th of every month. This form is accessible for you to edit or resubmit at any time. If you have any questions or would like to discuss AutoPay or your SBDA account, please contact SBDA Bookkeeper Alisa Vass at
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