CSEE Performing Arts Summer Camp Registration CSEE REGISTRATION Registration Date * 1st STUDENT'S INFORMATION Student1 Name * Date of Birth * Age * Sex * Male Female Do you attend a Yonkers Public School? * Yes No If "Yes" then please enter the name of the school. Grade Student 1 - CSEE Performing Arts Summer Camp Registration For Ages 6-12 Half Day (Monday-Friday, 8AM-1PM) Half-Day - Payment in Full - $300 Half day - 50% Deposit - (Final payment of $150 Due by 7/22) - $150 For Ages 6-12 Full Day (Monday-Friday, 8AM - 3PM) Full-Day Performing Arts Camp: Payment in Full - $600 Full Day - 50% Deposit - (Final payment of $300 Due by 7/22) - $300 For Ages 13-17 Half Day (Monday - Friday, 8AM-1PM) Half Day - Payment in Full - $350 Half Day - 50% Deposit - (Final payment of $175 Due by 7/22) - $175 For Ages 13-17 Full Day (Monday - Friday, 8AM to 3PM) Full Day Payment in Full - $650 Full - 50% Deposit - (Final payment of $325 Due by 7/22) - $325 2nd STUDENT's INFORMATION Student2 Name Date of Birth Age Sex Male Female Do you attend a Yonkers Public School? Yes No If "Yes" then please enter the name of the school. Grade Student 2 - CSEE Performing Arts Summer Camp Registration For Ages 6-12 Half Day (Monday-Friday, 8AM-1PM) Half-Day - Payment in Full - $300 Half day - 50% Deposit - (Final payment of $150 Due by 7/22) - $150 For Ages 6-12 Full Day (Monday-Friday, 8AM - 3PM) Full-Day Performing Arts Camp: Payment in Full - $600 Full Day - 50% Deposit - (Final payment of $300 Due by 7/22) - $300 For Ages 13-17 Half Day (Monday - Friday, 8AM-1PM) Half Day - Payment in Full - $350 Half Day - 50% Deposit - (Final payment of $175 Due by 7/22) - $175 For Ages 13-17 Full Day (Monday - Friday, 8AM to 3PM) Full Day Payment in Full - $650 Full - 50% Deposit - (Final payment of $325 Due by 7/22) - $325 3rd STUDENT'S INFORMATION Student3 Name Date of Birth Age Sex Male Female Do you attend a Yonkers Public School? Yes No If "Yes" then please enter the name of the school. Grade Student 3 - CSEE Performing Arts Summer Camp Registration For Ages 6-12 Half Day (Monday-Friday, 8AM-1PM) Half-Day - Payment in Full - $300 Half day - 50% Deposit - (Final payment of $150 Due by 7/22) - $150 For Ages 6-12 Full Day (Monday-Friday, 8AM - 3PM) Full-Day Performing Arts Camp: Payment in Full - $600 Full Day - 50% Deposit - (Final payment of $300 Due by 7/22) - $300 For Ages 13-17 Half Day (Monday - Friday, 8AM-1PM) Half Day - Payment in Full - $350 Half Day - 50% Deposit - (Final payment of $175 Due by 7/22) - $175 For Ages 13-17 Full Day (Monday - Friday, 8AM to 3PM) Full Day Payment in Full - $650 Full - 50% Deposit - (Final payment of $325 Due by 7/22) - $325 4th STUDENT'S INFORMATION Student4 Name Date of Birth Age Sex Male Female Do you attend a Yonkers Public School? Yes No If "Yes" then please enter the name of the school. Grade Student 4 - CSEE Performing Arts Summer Camp Registration For Ages 6-12 Half Day (Monday-Friday, 8AM-1PM) Half-Day - Payment in Full - $300 Half day - 50% Deposit - (Final payment of $150 Due by 7/22) - $150 For Ages 6-12 Full Day (Monday-Friday, 8AM - 3PM) Full-Day Performing Arts Camp: Payment in Full - $600 Full Day - 50% Deposit - (Final payment of $300 Due by 7/22) - $300 For Ages 13-17 Half Day (Monday - Friday, 8AM-1PM) Half Day - Payment in Full - $350 Half Day - 50% Deposit - (Final payment of $175 Due by 7/22) - $175 For Ages 13-17 Full Day (Monday - Friday, 8AM to 3PM) Full Day Payment in Full - $650 Full Day - 50% Deposit - (Final payment of $325 Due by 7/22) - $325 5th STUDENT'S INFORMATION Student5 Name Date of Birth Age Sex Male Female Do you attend a Yonkers Public School? Yes No If "Yes" then please enter the name of the school. Grade Student 5 - CSEE Performing Arts Summer Camp Registration For Ages 6-12 Half Day (Monday-Friday, 8AM-1PM) Half-Day - Payment in Full - $300 Half day - 50% Deposit - (Final payment of $150 Due by 7/22) - $150 For Ages 6-12 Full Day (Monday-Friday, 8AM - 3PM) Full-Day Performing Arts Camp: Payment in Full - $600 Full Day - 50% Deposit - (Final payment of $300 Due by 7/22) - $300 For Ages 13-17 Half Day (Monday - Friday, 8AM-1PM) Half Day - Payment in Full - $350 Half Day - 50% Deposit - (Final payment of $175 Due by 7/22) - $175 For Ages 13-17 Full Day (Monday - Friday, 8AM to 3PM) Full Day Payment in Full - $650 Full Day - 50% Deposit - (Final payment of $325 Due by 7/22) - $325 PARENT / GUARDIAN INFORMATION Parent / Guardian Name * Relationship to Student * Street Address * City * State * Zip Code * Phone Number * Email Address * Set & Confirm New Member Password * Confirm Set & Confirm New Member Password * Total Tuition (No Registration Fees) RETURNING STUDENTS Approximate Date of Last Registration RELEASE OF RESPONSIBILITY In giving my consent, I further release YOUTH THEATRE INTERACTIONS, INC. (YTI) and its administrators, instructors, or any person acting on behalf of YTI of any responsibility for accident or injury as a result of participating in this virtual instructional program. Parent / Guardian Signature * Clear Date * If you are human, leave this field blank. Δ
