RIVERTON JIVE 2019 REGISTRATION REQUEST
Riverton Location: 2604 W. 12600 S., Riverton, UT 84065

Reminder: "company" dancers do NOT need to register. All others, please fill out a separate registration request for each dancer you want to properly register. If a dancer chooses to request two different once-a-week classes, they will need to use this request form twice (i.e. once for each class).

Each registration you submit will be auto-dated and auto-timed so that classes are populated in the order registration requests are received. The 2019 Class Schedule is available at http://www.jivellc.com/riv/rivclasses.pdf.

IMPORTANT: Registration will commence on Monday, July 15, 2019 for students that continued through the 2019 summer classes and then commence for all others, including new students, on Monday, July 22, 2019. Any early registrations will be discarded.

If you are new to Jive, be sure to visit http://www.jivellc.com/riv/ to check prices, see policies, and find other helpful information. If you have additional questions, please feel free to call Riki directly at 801.362.6626. Check out a past Jive concert on YouTube at: https://www.youtube.com/watch?v=a7qZf5Nvx4g.
Registering Dancer's First Name *
Your answer
Registering Dancer's Last Name *
Your answer
Registering Dancer's Birth Date *
(Be Sure to Select the Correct BIRTH Year)
MM
/
DD
/
YYYY
Parent or Guardian's First Name
(If registering dancer is under 18 years old)
Your answer
Parent or Guardian's Last Name
(If registering dancer is under 18 years old)
Your answer
E-mail of Registering Dancer (OR of Parent/Guardian if Dancer is under 18) *
(This may be used to contact you regarding your registration)
Your answer
Cell Number of Registering Dancer (OR of Parent/Guardian if Dancer is under 18)
(This may be used to text you regarding your registration)
Your answer
First Choice *
(You will be registered for this class unless this class is full before your registration is reached)
Second Choice *
(You will be registered for this class if your above class choice is full before your registration is reached)
Third Choice *
(You will be registered for this class if your above class choices are full before your registration is reached)
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