Registration

Home
About Us
Kids Art class at Rivertown
Gallery
Contact

Register here

* Indicates required field

Student Name *

First

Last

Choose One *

male female

Choose One *

age of student 5-8 age of student 9-10 age of student 11-14

Allergies *

Birthday *

Student Name/ sibling *

First

Last

[object Object]

Choose One *

Male female

Choose One *

age of student 5-8 age of student 9-10 age of student 11-14

Allergies *

Birthday *

Student Name/ sibling *

First

Last

[object Object]

Choose One *

Male Female

Choose One *

age of student 5-8 age of student 9-10 age of student 11-14

Allergies *

Birthday *

Parents Name *

First

Last

Parenst Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Choose One *

Enrichment A __Monday__ 9:00am-1:00pm__13 days with Art, Science, Theater/ music Enrichment B __Wednesday__9:00am-1:00pm__13 days with Art, Stretch and strength, theater /music Enrichment C __Monday, Wednesday__9:00am-1:00pm__13 days with All classes Enrichment D__Friday__9:00am-1:00pm__13 days with Art, Stretch and strength, Theater/ music

Choose One *

Zelle__ [email protected] Venmo __ @denniza-matarelli Check __ Art in Motion Academy Cash

Comment *

Submit

Proudly powered by Weebly

Home
About Us
Kids Art class at Rivertown
Gallery
Contact