Uptown Classics

Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Session Enrollment *

$25 Registration fee Sibling discount: 10% *Special*: Register for the full program $475.00

Week 1: July 24 - July 28 ($250)

Week 2: July 31 - Aug 04 ($250)

Financial Assistance *

Is your family in need of tuition assistance?

Yes

No