YORKTOWN STAGE THEATRE WORKSHOPS
CAMP REGISTRATION FORM
Use separate form for each child.
Mon-Thur 9:00am-3:00pm, Fri 9:00am-12:00pm
Name of Primary Parent/Guardian*:
Address of Primary Parent/Guardian*:
Phone Nos. Primary Parent/Guardian*:
Name of Other Parent/Guardian:
Phone Nos. Other Parent/Guardian:
Child To Be Placed With (Optional):
Emergency Contact (to be called if Prime or Other Parent / Guardian cannot be reached):
Signature of Parent / Guardian*:
RELEASE OF MINORS: All campers are released at the end of the camp day to parent / guardians.
NO CAMPER WILL BE ALLOWED TO LEAVE WITH A STRANGER.
My child can be released to the following people:
REFUND POLICY: If a person withdraws from a summer session prior to Dec 13 of the camp year, then the total fee, (less 25% for administrative costs), will be refunded. There will be no refunds for any person for any reason after Dec 14 of the camp year. The Camp Director and/or the Executive Director have the right to dismiss any child for behavioral problems. Money will not be refunded for days missed due to dismissal or illness.
NOTE:Your application cannot be processed unless completely filled out and signed. Your medical forms(s) must be submitted before the session starts. You will receive EMAIL confirmation of Registration. PLEASE remove spam filters. If not received, PLEASE call office at 914-962-0606.