RIF Elite Academy Online Registration

Registration

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Welcome to RIF Elite Academy! We are excited you choose our organization to cultivate your talents. Our mission is to empower the youth and our community to be positive role models through creative arts. We specialize in modeling dance and sewing classes. Thank you for your business and we look forward to meeting you. Please complete the following registration form.

* 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 (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

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?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)*

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

Medications (Leave blank if NONE)*

Primary Doctor*

All students are required a registration and sweatsuit fee. This fee will be posted to your account upon application completion.

Fees Below:

Sweatsuit All students: $120f( fee applied for students in program for six months)

Fashion/Sewing Program $65 - Basic sewing kit, RIF book, t-shirt, tote bag, and sketch book

Dance/ Model Program $135 Black leotards (1) RIF short t-shirt sleeve, (1) RIF tote bag, RIF bra, (2) pairs dance shoes black and nude)

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)*

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

Medications (Leave blank if NONE)*

Primary Doctor*

All students are required a registration and sweatsuit fee. This fee will be posted to your account upon application completion.

Fees Below:

Sweatsuit All students: $120f( fee applied for students in program for six months)

Fashion/Sewing Program $65 - Basic sewing kit, RIF book, t-shirt, tote bag, and sketch book

Dance/ Model Program $135 Black leotards (1) RIF short t-shirt sleeve, (1) RIF tote bag, RIF bra, (2) pairs dance shoes black and nude)

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)*

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

Medications (Leave blank if NONE)*

Primary Doctor*

All students are required a registration and sweatsuit fee. This fee will be posted to your account upon application completion.

Fees Below:

Sweatsuit All students: $120f( fee applied for students in program for six months)

Fashion/Sewing Program $65 - Basic sewing kit, RIF book, t-shirt, tote bag, and sketch book

Dance/ Model Program $135 Black leotards (1) RIF short t-shirt sleeve, (1) RIF tote bag, RIF bra, (2) pairs dance shoes black and nude)

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)*

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

Medications (Leave blank if NONE)*

Primary Doctor*

All students are required a registration and sweatsuit fee. This fee will be posted to your account upon application completion.

Fees Below:

Sweatsuit All students: $120f( fee applied for students in program for six months)

Fashion/Sewing Program $65 - Basic sewing kit, RIF book, t-shirt, tote bag, and sketch book

Dance/ Model Program $135 Black leotards (1) RIF short t-shirt sleeve, (1) RIF tote bag, RIF bra, (2) pairs dance shoes black and nude)

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)*

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

Medications (Leave blank if NONE)*

Primary Doctor*

All students are required a registration and sweatsuit fee. This fee will be posted to your account upon application completion.

Fees Below:

Sweatsuit All students: $120f( fee applied for students in program for six months)

Fashion/Sewing Program $65 - Basic sewing kit, RIF book, t-shirt, tote bag, and sketch book

Dance/ Model Program $135 Black leotards (1) RIF short t-shirt sleeve, (1) RIF tote bag, RIF bra, (2) pairs dance shoes black and nude)

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Membership Type*

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*

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

Required Policies

(Show-Hide Details)