Fine Arts Academy Registration
Name
Your answer
Age
Your answer
Birthday
MM
/
DD
/
YYYY
Mailing Address
Your answer
Zip Code
Your answer
Mom's Cell Phone
Your answer
Dad's Cell Phone
Your answer
Student's Cell Phone
Your answer
Parent's Name
Your answer
Parent's Email
Your answer
Emergency Contact (Name, Relationship to student, and contact phone number)
Your answer
Do you have a church home?
Your answer
Is there any additional information that would help us serve your child?
Your answer
I give permission to the following people to sign-in & sign-out my child for Academy.
Your answer
I give the above names permission for the entire semester Sept 8 - Dec 24th.
I understand that the RB Fine Arts Academy is run solely on donations and designated gifts. Please consider a donation to help keep Academy serving our children and youth.
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