Riverside Kids Registration

Child's Information

Tip: Use Cell phone if no home phone number

Tip: If none, please specify 'None'

Does your child have a disability or special 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