Registration Form Summer 2017

Date of Birth:
Parent/Guardian 1
Parent/Guardian 2
State:

Please select individual class dates or all sessions below:
Week 1:
June 19th, 2017June 20th, 2017June 21st, 2017June 22nd, 2017
Week 2:
June 26th, 2017June 27th, 2017June 28th, 2017June 29th, 2017
Week 3:
July 3rd, 2017No Class 7/4July 5th, 2017July 6th, 2017
Week 4:
July 10th, 2017July 11th, 2017July 12th, 2017July 13th, 2017
Week 5:
July 17th, 2017July 18th, 2017July 19th, 2017July 20th, 2017
Photo Release YesNo
By checking this option, you consent and agree that Urban Arts or its agents have the right to take photographs, videotape or digital recordings of your child to use in any media exclusively for Urban Arts' publicity purposes.