RDS+ Registration Form
$50 Registration Fee $400 per student per month
Scholarship forms are available upon request. 10% discount is available to siblings of RDS students. Sessions begin on Monday August 24th.
Student's Name
*
Home Address
*
City
*
Zip Code
*
Student's Birthday
*
Student's Gender
*
Male
Female
What school is your child currently enrolled in?
Please select your child's grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
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Mother's Name
First Name
Last Name
Mother's Email Address
*
example@example.com
Mother's Contact Number
*
-
Area Code
Phone Number
Do you receive text message at this number?
*
Yes
No
Father's Name
First Name
Last Name
Father's Email Address
example@example.com
Fathers Phone Number
-
Area Code
Phone Number
Please Select your Preferred Session
*
Monday, Wednesday & Thursday 7:45 AM- 2:30 PM
Tuesday, Wednesday & Friday 7:45 AM - 2:30 PM
Please indicate why the child needs to be enrolled.
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Does your child have any special needs we should be aware of?
Yes (please explain below)
No
Please explain any special needs.
Does your child have any allergies?
*
Yes (please explain below)
No
Please list any allergies.
Does your child have take any medications?
Yes (please list below)
No
Please list any medications.
Please upload a current immunization form.
Browse Files
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Does your child have the required electronics to complete virtual learning assignments?
Yes
No
Does your child receive free or reduced lunch?
Yes
No
Does your child have transportation to and from Riverchase United Methodist Church?
*
Yes
No
Submit
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