Registration Form Summer 2019 – Teen Portfolio

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

    Please select individual class dates or all sessions below:
    Week 1:
    June 24th, 2019June 25th, 2019June 26th, 2019June 27th, 2019
    Week 2:
    July 1st, 2019July 2nd, 2019July 3rd, 2019No Class 7/4
    Week 3:
    July 8th, 2019 July 9th, 2019July 10th, 2019 - July 11th, 2019
    Week 4:
    July 15th, 2019July 16th, 2019July 17th, 2019July 18th, 2019
    Week 5:
    July 22nd, 2019July 23rd, 2019July 24th, 2019July 25th, 2019
    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.