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Online Inquiry

Thank you for your interest in Rivers Academy!

Please complete the inquiry form below and select Submit. Our Admissions Coordinator will follow-up with next steps and answers to your questions.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School *

  • Current Grade Level
    *
  •  
  • Is There Another Student?
    Yes No
  •