Registration Form Summer 2025am Date of Birth: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031198019811982198319841985198619871988198920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 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 23rd, 2025June 24th, 2025June 25th, 2025June 26th, 2025 Week 2: June 30th, 2025July 1st, 2025July 2nd, 2025July 3rd, 2025 Week 3: July 8th, 2025July 8th, 2025July 9th, 2025July 10th, 2025 Week 4: July 14th, 2025July 15th, 2025July 16th, 2025July 17th, 2025 Week 5: July 21st, 2025July 22nd, 2025July 23rd, 2025July 24th, 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.