Registration form

Name of Class: Concept Design
Class Day: Monday
Class Time: 5-6pm

    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.