REGISTRATION Child Registration Adult Registration Registration Request - 2021-2022 You may register mid-session for any class depending on availability. Class size is limited. Tuition will be pro-rated. Advanced registration for a future session is not accepted. Please complete this request form and we will contact you as soon as possible regarding availability. Please be sure to read and understand our policies (About Us->Policies) If you prefer, you can download a PDF version of this form which you can fill-out and mail in with your check to: Urban Arts at Monroe, 720 Monroe, Suite E204 & E206, Hoboken, NJ 07030. Child's First Name: Child's Last Name: Date of Birth: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930311980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 School: Parent/Guardian 1 First Name: Last Name: Cell Phone: Parent/Guardian 2 First Name : Last Name : Cell Phone: Home Address: City: State: New JerseyAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: Home Phone: Email: Emergency Contact: Emergency Phone: Class Selection Class: - Select -Toddler ArtPre-School ArtArt ExplorationPainting & Drawing IPainting & Drawing IIPainting & Drawing IIIYoung Art ExplorersDrawing IntensiveMixed MediaPainting & DrawingTeen IntensiveIndependent StudyComic Book Drawing Day: - Select -MondayTuesdayWednesdayThursdayFridaySaturday Time: - Select -1-1:45pm10-10:45am11-11:45am11-12:00pm11-1:00pm3:30-4:30pm3:30-4:15pm3:30-5:00pm4:30-6:00pm4:45-5:45pm7:30-7:00pm9:30-10:30am4:30-5:20pm5:30-6:20pm Accept Enrollment Conditions Yes Photo Release YesNo Notes: The Adult Painting & Drawing sessions are held on Thursdays 7pm-9pm and Saturdays from 11am-1pm. You may register mid-session for any class depending on availability. Class size is limited. Tuition will be pro-rated. Advanced registration for a future session is not accepted. Please complete this request form and we will contact you as soon as possible regarding availability. Please be sure to read and understand our policies (About Us->Policies) If you prefer, you can download a PDF version of this form which you can fill-out and mail in with your check to: Urban Arts at Monroe, 720 Monroe, Suite E204 & E206, Hoboken, NJ 07030. Firstname: Middlename: Lastname: Address 1: Address 2: City: State: New JerseyAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: Phone: Email: Class: - Select -Toddler ArtPre-School ArtArt ExplorationPainting & Drawing IPainting & Drawing IIPainting & Drawing IIIYoung Art ExplorersDrawing IntensiveMixed MediaPainting & DrawingTeen IntensiveIndependent StudyComic Book Drawing Day: - Select -MondayTuesdayWednesdayThursdayFridaySaturday Time: - Select -1-1:45pm10-10:45am11-11:45am11-12:00pm11-1:00pm3:30-4:30pm3:30-4:15pm3:30-5:00pm4:30-6:00pm4:45-5:45pm7:30-7:00pm9:30-10:30am4:30-5:20pm5:30-6:20pm Accept Enrollment Conditions: Yes Photo Release: YesNo Notes: