PYT Registration 2020-2021
Email address *
Student's First Name *
Student's Last Name *
Student's Age *
Student's Grade *
Student's Birth Date *
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/
DD
/
YYYY
Student's School *
School District of Residency *
Student's Home Address Line 1 *
Student's Home Address Line 2
Student's Home Address City *
Student's Home Address County *
Student's Home Address State *
Student's Home Address Zip Code *
Primary Phone Number *
Secondary Phone Number
Primary E-mail Address *
Secondary E-mail Address
Parent/Guardian 1 First Name *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Employer *
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Parent/Guardian 2 Employer
Photography Policy Pennsylvania Youth Theatre reserves the right to use photographs and video taken during classes and other programs for the promotion of the organization. Any student, parent or guardian who does not wish to be photographed or have a child photographed, must notify Pennsylvania Youth Theatre upon registration. *
Please choose your child's t-shirt size: *
NOTE: T-shirts are provided to ALL full-year students.
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