West Chester University : Pennsylvania Theatre Institute Registration

Pennsylvania Theatre Institute Registration Form

Please note: Only one child can be registered at a time. Please repeat the process if you are registering multiple children.

Contact Information

Please make sure you have filled in all required fields with valid information.

Please Register My Student For:

Student's First Name:

Student's Last Name:

Student's Address 1:

Student's Address 2:

Student's City:

Student's State/Province:

Student's Zip/Postal Code:

Student's Birthdate

Student's School:

Student's Current Grade Level:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Email Address:

Parent/Guardian Phone Number:

- -

Secondary Parent/Guardian First Name:

Secondary Parent/Guardian Last Name:

Secondary Parent/Guardian Email Address:

Secondary Parent/Guardian Phone Number:

- -

Student's Gender Pronouns:

Student's T-Shirt Size:

Additional Questions

Please make sure you have filled in all required fields with valid information.

Does this student have any physical, psychological, or medical conditions, including any special instructions?

Does this student have any allergies that our staff should know about?

Please list any medications your student is taking.

Are there any special ways your child learns?

How did you hear about this camp?

Photos and Videos may be taken for promotional purposes, and I consent to their use.

Is there anything else you think it might be useful for us to know about your student?

Thank you for choosing Pennsylvania Theatre Institute! The total cost of the Pre-College Intensive is $1960, and can be paid either in full or in installments. For those who opt to pay in installments, a $300 deposit is due to secure your child's participation in this program. We will contact you with a link to complete your payments, with the full balance due before June 6th, 2025. (Sorry, no exchanges or refunds at this time). Thank you, and we're excited to see you soon!

Pre-College Payment:

Promo Code:

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Total Cost: $

West Chester University

Pennsylvania Theatre Institute Registration

West Chester University

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Pennsylvania Theatre Institute Registration Form