Registration Form Summer 2021

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

    Please select individual class dates or all sessions below:
    Week 1:
    June 28th, 2021June 29th, 2021June 30th, 2021July 1st, 2021
    Week 2:
    July 6th, 2021July 7th, 2021July 8th, 2021
    Week 3:
    July 12th, 2021July 13th, 2021 July 14th, 2021July 15th, 2021
    Week 4:
    July 19th, 2021July 20th, 2021July 21st, 2021July 22nd, 2021
    Week 5:
    July 26th, 2021July 27th, 2021July 28th, 2021July 29th, 2021
    Week 6:
    August 2nd, 2021 August 3rd, 2021 August 4th, 2021 August 5th, 2021
    Accept Enrollment Conditions Yes
    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.