Registration form

Name of Class: Independent Study
Class Day: Fridays
Class Time: 4:30-6:00pm
Date of Birth:
Parent/Guardian 1
Parent/Guardian 2
State:

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.