Registration


Hoops, Dancing, ChildTo register for classes, complete the online registration form below (scroll down) and submit it or print and mail a paper copy of our 2024-25 Registration Form or our Summer 2024 Registration Form.

Unless noted on registration, families are enrolled continuously through the school year or summer to allow for a consistent schedule for families; simply let us know at least 2 weeks before any change to withdraw.  There is a $10 registration fee that will be added to your account. Please be sure to register all children (including those under 6 months who attend for free) who will be attending the class.

(Please note if you are registering as a gift that an automatic response is sent to the email entered; please enter your own email, and list the recipient's email in the comments section with a note that it is a gift.

Select Class:  

Preferred Day/Time:  (e.g. Tuesdays 09:30)
Second Choice Day/Time: 
 
Parent(s) First Name:      
Parent(s) Last Name:      
Address Line 1:  
Address Line 2:  
City:  
State/Province:          
Zip/Postal Code:  
Email Address:  
Home Phone Number:   -   -  
Cell Phone Number:   -   -  
Alt. Contact Person:  
Alt. Contact Phone:   -   -  
Child's First Name:  
Child's Last Name:  
Child's Current Age:   months     years
Child's Birthdate:   (MM/DD/YYYY)  
UCCMA has my permission to use photos or videotapes in which my child appears for publicity and grant purposes.
Yes     No    
UCCMA has my permission to release contact information (including name, phone number, and email address) to UCCMA's participating families.
Yes     No    
As a non-profit entity, UCCMA is required to maintain updated information regarding the ethnic composition of our student body. Please mark the term(s) that best describe the child registered above. This data will be kept confidential.
African-American     American Indian     Asian     Caucasian     Hispanic     Other    
List any allergies or medical issues of which the teacher should be aware:  
How did you hear about us?:  
Other:  
Question/Comment: