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Eastern Overnight Camp  

YPTW Overnight Camp Registration

To register for camp, mail this form with a check payable to YPTW, Inc. to:

YPTW, Inc.  

363 Radford Court

Glen Mills, PA 19342



Address ______________________________________


Phone _____________E-mail______________________

Birthdate________ Age_____  Sex____T-Shirt Size______

Theatre experience: attach resume to application listing your vocal, dance and acting training and experiences.

Please note: If this is your first experience with YPTW, Inc., we require a recommendation from a teacher. The recommendation should include the following information:

®       time period of acquaintance

®       assessment of studentís behavior

®       assessment of studentís dedication to the  theater

®       additional information deemed helpful in making a selection

Name and phone number of teacher submitting recommendation:

Name   __________________________________________

Phone _____________________________________________

Ask the teacher to send the letter of recommendation to:

YPTW, Inc., 363 Radford Court, Glen Mills, PA 19342


The above named actor is in good health and has my permission to participate in the YPTW Theatre Arts Camp. I authorize all medical and hospital procedures as may be performed or prescribed  by a treating physician in the case of emergency.

Parent Signature_____________________________________

 Paid in Full_______             Deposit of $250___________

 Check #: ____________________________________        

Cost: $795.00


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