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Please fill out the information below and submit for our records.
Once the form has been completed, you will be redirected to the Paypal payment gateway.

** If a session is sold out. Please call to be added to the waitlist immediately. (925) 858-3548

Choose A Session

Studen't Preferred Name or Tag (required)

Social Media Handle

Enter Year Started at YATC (required)

Student's First Name (required)

Student's Last Name (required)

Parent's Email (required)

Student's Email

Student's Gender

Student's Age (at time of Camp)*:

Student's Date of Birth: (D.O.B.)*:

Parent's Guardian #1 Name

Parent's Guardian #2 Name

Home Phone

Cell Phone

Address

City

State

Zip Code

Emergency Contact Other Than Parent

Name

Phone

Relationship

Medical History

Current Medications

Allergies

Special Dietary Needs

Student's School

Referred By A Student, Tell Us Who

Specific Bunk Request

Refer A Friend. Friend's Name.

How did you hear about us? (required)

What would you like to get out of this Summer Camp? Be specific, please. This
will help us place you in a group that most fits your needs.

Does your family know anyone in the Entertainment Industry that would be
interested in teaching a Master Class at CampYATC? If so, who?

SUMMER CAMP CANCELLATION POLICY:
If Cancelled by March 1, 2019: Full Refund less the $500 Non Refundable Deposit.
If Cancelled after March 1, 2019: Tuition is non refundable, but may be transferred
to another upcoming session depending on availability and at management
discretion. A transfer fee will apply: $150 (before March 1st) and $250 (after March 1st).

I agree to the cancellation/refund policy:
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