Registration form

Name of Class:
Class Day:
Class Time:
Date of Birth:
Parent/Guardian 1
Parent/Guardian 2

Please select individual class dates or all sessions below:
Session 1:
October 1st, 2016October 15th, 2016October 22nd, 2016October 29th, 2016
Session 2:
November 5th, 2016November 19th, 2016December 3rd, 2016December 10th, 2016December 17th, 2016
Session 3:
January 7th, 2017January 21st, 2017January 28th, 2017February 4th, 2017February 11th, 2017February 25th, 2017
Session 4:
March 7th, 2017March 11th, 2017March 18th, 2017March 25th, 2017April 8th, 2017April 22nd, 2017
Session 5:
April 29th, 2017May 6th, 2017May 13th, 2017May 20th, 2017June 3rd, 2017June 10th, 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.