Registration form

Name of Class: Collage Workshop - Stephanie Costello
Class Day: Sat 11/12
Class Time: 1pm

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

    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.