Young Performers Theater Camp 2019 Application

Online registration for the Young Performers Theater Camp will be available on this web page beginning February 2, 2019.

Camper's Personal Information

Camper's First Name *

Camper's Last Name *

Age of Camper (as of July 1st) *

Sex *

Male

Female

DOB *

Month

Day

Year

Address

Street *

City *

State *

Zip *

School this Past Academic Year *

Grade this Past Academic Year *

Camp Experience

Has the camper attended this camp before? *

Yes

If so, which camp(s)?

Young Performers Theater Camp

Introduction to Performing Arts Camp

If so, how many times have they attended this camp?

Performing Arts Area of Concentration *

Dance (ages 9-18)

Junior Musical Theater (ages 9-12)

Teen Musical Theater (ages 13-14)

Senior Musical Theater (ages 15-18)

Experience

List any experience, instruction or formal training the camper has received in the performing arts.

Emergency Contact

Emergency Contact's Name *

Emergency Contact Phone Number *

Camper's Medical Information

Medical Problems and Description

Please list any medical problems or conditions that the staff should be made aware of.

Medications

Please list any current medications

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