Sign up for a Trial Class

Kids Art Class

[contact-form to=”riverbien@gmail.com” subject=”A New Registration for Trial class age 3-5 from your website”][contact-field label=”How did you hear about us?” type=”checkbox-multiple” required=”1″ options=”Social Media (Facebook etc.),Communication groups (WeChat etc.),Poster,Flyer,RiverBien website,Radio,Friend or Co-worker,Other”][contact-field label=”Full Name” type=”name” required=”1″][contact-field label=”Nickname” type=”name”][contact-field label=”Gender” type=”checkbox-multiple” required=”1″ options=”Girl,Boy”][contact-field label=”Date of Birth” type=”date” required=”1″][contact-field label=”What date would you like to join?” type=”text” required=”1″ options=”Week 1 (4/14 – 4/17),Week 2 (4/21 – 4/24),Week 3 (4/28 – 5/1),Week 4 (5/12 – 5/15)”][contact-field label=”Please choose a time and venue.” type=”checkbox-multiple” required=”1″ options=”10:00 AM – 10:50 AM on Saturdays at San Jose (Ages 3-5),11:10 AM – 12:00 AM on Saturdays at San Jose (Ages 6-12)”][contact-field label=”Does your child have any medical conditions or allergies?” type=”text” required=”1″][contact-field label=”Does your child understand Chinese? ” type=”checkbox-multiple” required=”1″ options=”Yes,No”][contact-field label=”Is there any other information about your child that would be helpful to us?” type=”textarea”][contact-field label=”Full Name” type=”name” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Phone” type=”text” required=”1″][contact-field label=”By clicking submit, you agree to the waiver below.” type=”checkbox” required=”1″][/contact-form]

Thanks for registering your child! We appreciate your support and can’t wait to have your child in our class!  ????