Registration Form Summer 2022 Date of Birth: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303119701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019 Parent/Guardian 1 Parent/Guardian 2 State: New JerseyAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Please select individual class dates or all sessions below: Week 1: June 27th, 2022June 28th, 2022June 29th, 2022June 30th, 2022 Week 2: No Class 7/4July 5th, 2022July 6th, 2022July 7th, 2022 Week 3: July 11th, 2022July 12th, 2022July 13th, 2022July 14th, 2022 Week 4: July 18th, 2022July 19th, 2022July 20th, 2022July 21st, 2022 Week 5: July 25th, 2022July 26th, 2022July 27th, 2022July 28th, 2022 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.
