Riva Arts University - Family Registration


Monday, July 10 - Friday July 14
1:00 PM - 4:00 PM
Students entering 1st-6th grades - $125


Riva Arts University is a creative arts camp that blends music and theater lessons with an emphasis on the visual arts.
This year's theme is Real Stories of the Old Testament! Students will learn a different artistic technique each day as well as engage in music
and theatrical activities surrounded by a common biblical theme. Students will also create an amazing art project each day!

Please complete the entire form and then click submit.
Your child(ren) are not registered until you click submit and a deposit of $25 per child is received by the Riva Arts University.




Parent / Guardian 1

 

First Name (*)

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Last Name (*)

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Home Phone (*)

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Cell Phone (*)

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E-mail Address (*)

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Parent / Guardian 2

 

First Name

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Last Name

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Home Phone

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Cell Phone

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E-mail Address

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Street Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Emergency Contact Name (*)

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Emergency Contact Cell Phone (*)

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How did you hear about RAU?

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You have the ability to register up to 4 children at one time.
Please complete all information for each child.



First Child

 

Child's First Name (*)

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Child's Last Name (*)

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Gender (*)

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Age as of June 1 (*)

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Child's Birthday (mm/dd/yyyy) (*)

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Grade ENTERING in the Fall (*)

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Allergies or other medical conditions we should be aware of?

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Can this child's photo be used at Riva Trace Baptist Church for promotion? (*)

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Can this child's photo be used in public publications for promotion (newspapers', etc.)? (*)

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Second Child

 

Child's First Name

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Child's Last Name

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Gender

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Age as of June 1

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Child's Birthday (mm/dd/yyyy)

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Grade ENTERING in the Fall

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Allergies or other medical conditions we should be aware of?

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Can this child's photo be used at Riva Trace Baptist Church for promotion?

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Can this child's photo be used in public publications for promotion (newspapers', etc.)?

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Third Child

 

Child's First Name

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Child's Last Name

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Gender

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Age as of June 1

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Child's Birthday (mm/dd/yyyy)

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Grade ENTERING in the Fall

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Allergies or other medical conditions we should be aware of?

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Can this child's photo be used at Riva Trace Baptist Church for promotion?

Invalid Input
Can this child's photo be used in public publications for promotion (newspapers', etc.)?

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Fourth Child

 

Child's First Name

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Child's Last Name

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Gender

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Age as of June 1

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Child's Birthday (mm/dd/yyyy)

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Grade ENTERING in the Fall

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Allergies or other medical conditions we should be aware of?

Invalid Input
Can this child's photo be used at Riva Trace Baptist Church for promotion?

Invalid Input
Can this child's photo be used in public publications for promotion (newspapers', etc.)?

Invalid Input