Riverside Kids Registration

Child's Information

Please note all information is kept confidential and is used soley for the purpose of caring for your child in our programs, and / or for emergency use.

Tip: Use Cell phone if no home phone number

Tip: If none, please specify 'None'

Does your child have support needs? If so, please describe below so we can partner with you for your child's benefit.

Tip: If none, please specify 'None'

Parents' Information/Emergency Contact

Tip: Please enter the phone number you will be reachable at, and indicate whether it is cell or home