Registration Form Summer 2019am

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, 2019July 2nd, 2019
Week 3:
July 8th, 2019 July 9th, 2019 July 10th, 2019July 11th, 2019
Week 4:
July 15th, 2019July 16th, 2019July 17th, 2019July 18th, 2019
Week 5:
July 22nd, 2019July 23rd, 2019 -July 24th, 2019 -July 25th, 2019
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.