Young Actors' Theatre Camp

Young Actors'
Theatre Camp

Discover and Develop
the Artist Within!

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Summer Camp Registration Is Open!
Do Not Wait to Register!

Session #1 July 11 - 21, 2012 - SOLD OUT!
Session #2 July 23 - Aug. 2, 2012
Session #3 Aug. 4 - 14, 2012

At Camp Sempervirens
in the Santa Cruz Mountains

Includes ALL classes, lodging, meals, activities & entertainment! Located at Camp Sempervirens in Boulder Creek, CA ~ Just 45 miles South of San Francisco in the Santa Cruz Mountains. Orientation Packets will be emailed to parents and students by the last week of June.

YATC Summer Camp 2012 Registration

Please fill out the information below and submit for our records. You may pay online with a credit card by clicking on the PayPal Button below this form, or pay by check as outlined below.

Please e-mail the PayPal Confirmation Number (once you have it) to:
registration@youngactorstheatrecamp.org

Spaces marked with an asterik (*) are required.


Session Selection: *

Student's First Name*
Student's Last Name*
Student's Gender*
Student's Age (at time of Camp)*
Student's Birth Date*
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 a Student? Tell us who
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
Payment must be received within 7 days or space will be forfeited.
How did you hear about YATC?:

Pay Pal Confirmation Number, enter it here if you have paid already or e-mail Confirmation Number to registration@youngactorstheatrecamp.org

Call (925) 858-3548 with any questions.

Checks should be made out to "Young Actors Theatre Camp" and full tuition is required to guarantee your student a spot. If sending check by mail, registration will be held for 7 days to allow for payment to arrive.

Pre-Registration is $1490
Full Tuition is $1690
Register EARLY and SAVE $200!
Registration Opens on Jan. 16, 2012

To pay by check, Send 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.
Before April 15th, Partial Refund, less $250 non-refundable deposit.
After April 15th, Partial Refund, Tuition is Non-Refundable.