Registration form

Name of Class:
Class Day:
Class Time:

    Date of Birth:
    [select* birthyear "1980" "1981" "1982" "1983" "1984" "1985" "1986" "1987" "1988" "1989" "1990" "1991" 1992" "1993" "1994" "1995" "1996" "1997" "1998" "1999" "2000" "2001" "2002" "2003" "2004" "2005" "2006" "2007" "2008" "2009" "2010" "2011" "2012" "2013" "2014" "2015" "2016" "2017" "2018" "2019" "2020" "2021" "2022" "2023"]

    Parent/Guardian 1

    Parent/Guardian 2

    State:

    Please select individual class dates below:

    2024:
    September 14th, 2024September 21st, 2024September 28th, 2024
    October 5th, 2024October 19th, 2024October 26th, 2024
    November 2nd, 2024November 16th, 2024November 23rd, 2024
    December 7th, 2024December 14th, 2024December 21st, 2024

    2025:
    January 11th, 2025January 25th, 2025
    February 1st, 2025February 8th, 2025February 22nd, 2025
    March 1st, 2025March 8th, 2025March 15th, 2025March 22nd, 2025March 29th, 2025
    April 5th, 2025April 12th, 2025
    May 3rd, 2025May 10th, 2025May 17th, 2025May 31st, 2025
    June 7th, 2025June 14th, 2025June 21st, 2025

    Accept Enrollment ConditionsYes

    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.