Rio Grand Valley Arts Studio Online Registration

Registration

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We require to have card information on file but we do not charge your card at this time!

* denotes required fields

Referral Information

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info

Health Insurance Carrier

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type*

How can we contact you?

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please only register in the classes that fit your level requirements.
If you are registering into a waitlist you will not be charged until the class is available.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class *
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please only register in the classes that fit your level requirements.
If you are registering into a waitlist you will not be charged until the class is available.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class *
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please only register in the classes that fit your level requirements.
If you are registering into a waitlist you will not be charged until the class is available.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class *
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please only register in the classes that fit your level requirements.
If you are registering into a waitlist you will not be charged until the class is available.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class *
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please only register in the classes that fit your level requirements.
If you are registering into a waitlist you will not be charged until the class is available.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class *
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Add Another Student

Required Policies

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I Agree to All of the Above

Enter your Full Name* December 13, 2024

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Please fill out CREDIT CARD Payment Method

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)