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
Name____________________________________________________
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 student’s behavior
¨ assessment of student’s 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 #: ____________________________________
Copyright (c) 2003-2012 YPTW Inc. All rights reserved.