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Introduction

Welcome to The Riekes Center. Our mission is to provide each student with the best possible opportunity to define and accomplish individual goals, build character and learn transferable life skills through Creative Arts, Athletic Fitness and Nature Awareness, in an environment of non-judgment and mutual respect.

Instructions

This information is all very important to us in an effort to serve your needs. To help us do that, please complete the following information, as completely as possible.

Thank you!

Name *
Name
Age of Participant *
Are you (participant) over 18 years old?
Date of Birth *
Date of Birth
Participant Address
Participant Address
Participant Phone *
Participant Phone