Please fill out this online form to provide information about your child for our 2025 Summer Camp!

Student Name

First Name

Last Name

Student's Birthdate

YYYY

Grade entering in Fall 2025:

Student's Gender-Identity

Please indicate how your child self-identifies and any specific pronouns they use.

Parent / Guardian Name

First Name

Last Name

Email Address

Secondary Email

Phone Number

(###)

###

####

Secondary Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daily Lunch Option - $285

Please indicate if your child would like to sign up for our Daily Lunch Option, provided by Brixx & Barley. Parents will receive a menu each weekend, and along with their children they can make selections for the upcoming week via a digital order form. Bottled water will also be provided. We will post a fee of $285 on your Parent Portal which will be due before June 30th.

Early Care / After Care

Please indicate below if you are interested in early care or after care for your child ($15 per hour) and which days and times you'd like to use this service. We will be in touch via email to confirm arrangements.

Medical Information

Please indicate below if your child has any allergies, special needs, dietary restrictions, exercise restrictions, or medical conditions we should know about. Please include a doctor's name/phone number if you would like us to have that information on file. Please note that this information will be kept strictly confidential and will only be shared with staff members as necessary. PYT is an inclusive environment, and we request this information in order to customize our approach with each student so they can get the most out of our programming. This information will never be used to discriminate against a student or restrict students from participating in our programming.

Emergency Contact

Please indicate name, phone number, and relationship of up to three emergency contacts that are not the camper's guardian (minimum of one contact, please).

Approved Pick-Up

Is your child permitted to leave camp by themselves upon dismissal?

Scheduling Conflicts

Please provide us with any known conflicts that your child will have with our camp schedule.

How did you hear about Professional Youth Theatre?

Terms and Conditions

Please check the following boxes to acknowledge agreement with the following terms.

Camp tuition must be paid in full before June 30th unless a specific arrangement has been made with our administrative staff. Payment is non-refundable and non-transferable.

I understand that camp runs from June 30th through July 25 on weekdays and that barring contagious illness or approved conflicts, my child is expected to be at camp on all scheduled days in order to be prepared for our final production.

I understand that performances of "Grease" will be scheduled on July 24th and July 25th and that students must be available for the full day (until 9:00 PM) on these dates.

I give permission for camp staff to seek emergency medical treatment for my child if I cannot be reached.

I give permission for my child to be photographed/filmed at camp and for these images to be used on social media and for camp promotional purposes.

I acknowledge that I have received (via email) a copy of the PYT Waiver and agree to its terms.

I understand that PYT is a tolerant/accepting environment and that bullying of any kind may result in dismissal from camp without refund.

Digital Signature

I certify that all information provided is accurate and complete. I understand and agree to the terms of camp enrollment.

Questions or Comments

A member of our staff will get back to you shortly. Thank you!