Registration Form Summer 2023 Date of Birth: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303119701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 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 26th, 2023June 27th, 2023June 28th, 2023June 29th, 2023 Week 2: July 3rd, 2023No Class 7/4July 5th, 2023July 6th, 2023 Week 3: July 10th, 2023July 11th, 2023July 12th, 2023July 13th, 2023 Week 4: July 17th, 2023July 18th, 2023July 19th, 2023July 20th, 2023 Week 5: July 24th, 2023July 25th, 2023July 26th, 2023July 27th, 2023 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.
