Summer Theatre Camp 2024 Registration Form
Theatre kids ages 6 - 11 will sing, dance, act, participate in arts and crafts and learn all about putting on a show at this weekly day camp.  Theatre Camp runs will June 3rd - August 2nd, 2024 from 9 AM - 4 PM Monday - Friday.  Showcases every Friday for family and friends.
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Camper's Name *
Camper #2 Name (Sibling Discount)
Camper's preferred pronouns
Clear selection
Camper #2's preferred pronouns
Clear selection
Camper's Birthday and Age *
Camper #2 Birthday and Age
Parent/Guardian's name: *
Parent/ Guardian's Email Address: *
Parent / Guardian's Cell Phone Number:
Home Address (street, city and zip) *
What school does the camper (s) attend? *
Allergies/ Medical Needs (n/a if not applicable): *
Choose which weeks your camper (s) will attend camp.  Weeks are not guaranteed until payment is received. If a week isn't listed, it's sold-out.  E-mail shoshana@lakeworthplayhouse.org to get on the waiting list. *
Required
Tuition is $175 per week and must be paid prior to the beginning of each week.

If you purchase two weeks or more, tuition is $125 for each subsequent week. So if you purchase 3 weeks, the first week will be $175 and weeks 2 and 3 will be $125 each. To purchase multiple weeks and receive the discount, please call the Box Office for payment.  Discount is not available online.

*Sibling discount only applies to the first week purchased (whether that's week 1, 5, 7, etc.). *
ENROLLMENT CONFIRMATION: Enrollment Confirmed upon receipt of completed Registration Form, signed Code of Conduct and a 50% tuition deposit or payment in full for camp. STUDENTS WILL NOT BE ADMITTED TO CAMP WITHOUT SIGNED REGISTRATION DOCUMENTS AND TUITION PAID IN FULL WITH NO REMAINING BALANCES. Payments may be made any time prior to the camp session’s begin date via ticketleap or by calling the Box Office at 561-586-6410. There will be no refunds. *
MEDICAL AUTHORIZATION: The undersigned hereby fully releases and discharges the Lake Worth Playhouse, Inc., its assigns and successors, from all rights, claims and actions which the minor or his or her successors may have against the Lake Worth Playhouse, Inc., arising out of the minor’s or individual’s participation. The undersigned also authorizes the Lake Worth Playhouse to arrange for emergency medical treatment on the student’s behalf in the event that Lake Worth Playhouse Staff are unable to contact the parent or guardian of a minor student, or in the event an adult student is unable to arrange for emergency medical treatment for any reason. *
MEDICAL INFORMATION: Please provide the name of your insurance company, the insured party and the policy number. *
MEDIA / PHOTO RELEASE:  The undersigned authorizes the Lake Worth Playhouse to use photos and video images of Lake Worth Playhouse students for publication and promotional purposes. *
SIGN-OUT AUTHORIZATION: Other than the parent or legal guardian, I give the following person (s) permission to pick up my child. *
By checking this box, I agree all of the above information is correct to the best of my knowledge. *
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