Riverside Studio for Girls – Registration Page – The Riverside Club for Adventure & Imagination

Studio Session*

Wednesday (10:30 am - 2:30 pm)
Thursday (10:30 am - 2:30 pm)

Your Name*

First Last

Other Parent's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone Number*

School*

Church Affiliation*

First Child's Information - Please complete all fields.

First Child's Name*

First Name Last Name

First Child's Birth Date

First Child's Age as of 9/1/2022*

First Child's Level of Experience:*

Beginner
Intermediate
Advanced

Please describe your first daughter's dance experience, including dance styles:*

Second Child's Information - Please complete all fields.

Second Child's Name

First Name Last Name

Second Child's Birth Date

Second Child's Age as of 9/1/2022

Second Child's Level of Experience:

Beginner
Intermediate
Advanced

Please describe your second daughter's dance experience, including dance styles:

Third Child's Information - Please complete all fields.

Third Child's Name

First Name Last Name

Third Child's Birth Date

Third Child's Age as of 9/1/2022

Third Child's Level of Experience:

Beginner
Intermediate
Advanced

Please describe your third daughter's dance experience, including dance styles (third applicant):

Tuition & Fees Agreement*

By checking this box, I agree to pay in full all tuition & fees ($1350.00 tuition + $15.00 tank top / child) prior to the first day of class.

I consent to this agreement for tuition & fees.

How did you hear about Riverside?*

Interested in receiving the latest news and information on upcoming events at Riverside?

yes

Email

This field is for validation purposes and should be left unchanged.

The Riverside Studio for Girls Application

First Child's Information - Please complete all fields.

Second Child's Information - Please complete all fields.

Third Child's Information - Please complete all fields.

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