Urban Soul Clinic Registration

Parent/Guardian Name

Parent/Guardian Email

Parent/GuardianPhone

Participant Name

Participant Age

Clinic Group

Ages 8–12 | Tuesdays | 6:00 PM – 6:55 PM

Ages 13–17 | Tuesdays | 7:00 PM – 7:55 PM

Emergency Contact Name

Emergency Contact Phone

Relevant Notes for Instructor

I understand that Urban Soul is the required foundation clinic before a participant may move into a more focused Strikers Youth Arts Project, Inc. clinic or individual coaching. At the end of the clinic, Strikers Youth Arts Project, Inc. will recommend the next step based on the participant’s effort, growth, and performance goals.

Urban Soul Performance Foundation Clinic

$75