Apply to Urban City Codes

After School Program – Future Tech Innovators

Simply fill out the form below.

Or Schedule A Call

After School Registration Form - Urban City Codes Future of Tech Innovation

Students

Student 1

Name
 
Address
 
 
 
 
Gender
Male
Female
 
Does the student have allergies?
Yes
No
 
 

Cost:

Future of Tech Innovation Student $350/mo each month per student.

If you have a UCC membership cost will be $299 per student. If there are 2 or more students cost is $250 per student each month. 

Select Program Options 
Future of Tech Innovation After-School Program 3pm-6pm Monday - Friday $350 per month
Urban City Code Member After- School Program 3pm-6pm Monday - Friday $299 per month
 

You will be contacted by a UCC representative to set up a payment. Please check email for calender invite to schedule meeting. 

Emergency Contact

Emergency Contact Name
 
 
 
 

I hereby give permission for my child/children to participate in Urban City Code Future Tech Innovation After School Program. Having read and understood all the information on this form, I hereby allow my child to attend Urban City Code After-School Program