Summer Enrichment Program Enrollment
To complete the enrollment process, please complete this form, print the copy that is emailed to you, then sign and return it to The Riley Center with your $50 non-refundable *registration fee. This registration fee covers the intake assessment for students/clients new to The Riley Center. The Riley Center reserves the right to determine class placement based on student independence. Space is limited and classes will fill up quickly.

Questions with * are required. If not applicable, please put NA.

A $75 materials fee will be charged for all students. A $50 transportation fee will be charged to all students in the high school/pre-vocational program for weekly outings.

*The Registration Fee for all students currently clients of The Riley center will be waived if they are registered by April 1.

Email address *
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