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) * - Select -9101112131415161718 Sex * Male Female DOB * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20002001200220032004200520062007200820092010 Address Street * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * School this Past Academic Year * Grade this Past Academic Year * Camper's T-Shirt Size * Adult Small Adult Medium Adult Large Adult Extra Large Adult 2XL Contact Information Camper's Email Address Parent/Guardian Name * Parent/Guardian's Email Address * Parent/Guardian Phone * Parent/Guardian Phone Type * Home Work Cell Other Parent/Guardian Additional Phone Parent/Guardian Additional Phone Type Home Work Cell Other Second Parent/Guardian Name Second Parent/Guardian Phone Second Parent/Guardian Phone Type Home Work Cell Other Camp Experience Has the camper attended this camp before? * Yes No 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's Relationship to Camper * Parent Sibling Extended Family Family Friend Legal Guardian 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 Additional Preferences Will you be using the YPTC Bus Service? * Yes No YPTC Bus Number 1 - Boyle Rec 2 - Monkiewicz Playground 3 - Pickett Pool 4 - Northern Liberties Rec 5 - Barrett Playground 6 - Hayes Playground Refer to our bus schedule and select your desired bus route below. YPTC Bus #5 Stops/Pickup Time 7:30 @ Barrett Playground 7:40 @ Morris Estate Rec Center 7:45 @ Simons Rec Center 7:50 @ Belfield Rec Center 8:00 @ Happy Hollow Playground 8:23 @ Martin Luther King Rec Center 8:34 @ M. Anderson Rec Center 9:00 @ UPenn's Annenberg Center 9:15 Venice Island PAC YPTC Bus #6 Stops/Pickup Time 7:45 @ Hayes Playground 7:54 @ Rhawnhurst Playground 8:01 @ Max Myers Playground 8:08 @ Houseman Rec Center 8:18 @ Olney Rec Center 8:23 @ Sturgis Playground YPTC Bus #4 Stops/Pickup Time 7:30 @ Northern Liberties Rec 7:45 @ Murphy Rec Center 8:00 @ J Finnegan Playground 8:10 @ Kingsessing Rec Center 8:15 @ Christy Rec Center 8:30 @ Rose Playground 8:35 @ Tustin Playground 8:42 @ John Anderson Cultural Center YPTC Bus #2 Stops/Pickup Time 7:30 @ Monkiewicz Playground 7:36 @ Bridesburg Rec Center 7:43 @ American Legion Playground 7:49 @ Disston Rec Center 7:54 @ Mayfair Playground 8:03 @ Jardel Rec Center 8:13 @ Fox Chase Rec Center 8:26 @ Lawncrest Rec Center YPTC Bus #1 Stops/Pickup Time 7:46 @ Boyle Rec Center 7:52 @ Junod Playground 8:02 @ Fitzpatrick Playground 8:10 @ Chalfont Playground 8:17 @ Holme Playground 8:25 @ Ramp Playground YPTC Bus #3 Stops/Pickup Time 7:30 @ Pickett Pool 7:35 @ Mallery Playground 7:40 @ Pleasant Playground 7:50 @ Lonnie Young Playground 7:59 @ Dorothy Emanuel Playground 8:06 @ Water Tower Rec Center 8:30 @ Kendrick Rec Center 8:35 @ Venice Island Rec Center