Young Actors' Theatre Camp

Young Actors'
Theatre Camp

Discover and Develop
the Artist Within!

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Winter Holiday Break Camp
Dec. 26, 2011 - Jan. 1, 2012

Register now and SAVE $100 ~ Pay only $1195!

To Be Added To The Wait List:
Step #1, pay online with PayPal (click the "Buy Now" button above)
Step #2, Come back to this page and fill out the Form below. When you click the "Submit" button it will send the information to us and clear the form. Don't worry, we will have all the information.
Step #3, if paying by check, send check to address below within 7 days of registering (filling out the form and clicking "Submit") or your spot will be released to someone on the wait list.
Only Fully Paid and Registered Students from the Wait List will be admitted into the Winter Camp Session.

There is a GREAT chance that we will be able to
take the first dozen or so on the Wait List!
If you are not admitted your payment is FULLY REFUNDABLE.

Winter Camp 2011 Wait List Registration Form

Student's First Name*
Student's Last Name*
Student's Gender*
Student's Age* (At time of camp)
Student's Date of Birth*
Parent/Guardian #1 First Name*
Parent/Guardian #1 Last Name*
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name:
Home Phone*
Parent/Guardian #1 Cell or Work Phone*
Parent/Guardian #2 Cell or Work Phone
Street Address*
Apartment Number
City*
State*
Zip Code*
Student's E-mail
Parent's E-mail*
Emergency Contact Other Than Parent
First Name*
Last Name*
Contact Phone*
Relationship
Student's Medical History
Student's Medical History		Please list any pertinent medical information here.
Current Medications
Any Allergies
Special Dietary Needs
T-Shirt Size

Student's School*
Referred By
Specific Bunk Request, Insert Friend's Name Here

Refer a Friend! If they come to camp you get $50!!
Friend's Name
Friend's E-mail
What would your student like to get out of attending the Young Actors' Theatre Camp?		Please answer this question fully and to the best of your ability. It allows us to see you as an artist, triumphs and challenges.
Sending Check by Mail? Check Here
Paying Via PayPal? Check Here
Payment must be received within 7 days or space will be forfeited.

After you click "submit" the form will be emailed to us and will "reset" and clear. It will have been emailed to us so don't worry. You will hear from us within 48 hours after registration is received.

Call (925) 858-3548 with any questions.

Checks should be made out to "Young Actors Theatre Camp"
Full tuition is required to guarantee your student a space.

Send Check Payment to:

Young Actors' Theatre Camp
P.O. Box 461324
West Hollywood, CA 90046

A Fee of $25 will be assessed on all Returned Checks.

Registration Cancellation Policy:

90 days or more, Full Refund less $50 processing fee.
60-90 days, Partial Refund, less $150 non-refundable deposit.
30-60 days, Partial Refund, less $250 non-refundable deposit.
30 days or less, Tuition is Non-Refundable but may be transferable
to another upcoming program, at management discretion.