IRT Theatre Camp

Register

Thank you for your interest in the IRT Theatre Camp. Please fill out the form below and proceed to the payment screen to register a camper.

For questions please contact education@irtlive.com

IRT Theatre Camp

"*" indicates required fields

Step 1 of 3

Camper Name*

First Last

Name to put on name tag*

Age*

Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Grade Entering in the Fall*

School*

Pronouns*

T-Shirt Size*

Parent/Guardian Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Camp 1 (Ages 5-7)*

Camp 2 (Ages 5-7)

Camp 3 (Ages 5-7)

Camp 4 (Ages 5-7)

Camp 1 (Ages 8-11)*

Camp 2 (Ages 8-11)

Camp 3 (Ages 8-11)

Camp 4 (Ages 8-11)

Camp 1 (Ages 12-15)*

Camp 2 (Ages 12-15)

Camp 3 (Ages 12-15)

Camp 4 (Ages 12-15)

Is your child taking any medication that we should know about, or that they will be taking during the time with us?

May we administer ibuprofen or non-aspirin Tylenol® if your child requests it? (for headache, etc.)*

Yes

Please list any allergies your child has, including food.

Please list any IEPs, 504 plans, medical needs, or other information you want us to know.*

Emergency Contact 1 Name*

First Last

Relationship to Student*

Phone*

Email*

Emergency Contact 2 Name

First Last

Relationship to Student

Phone

Emergency Contact 3 Name

First Last

Relationship to Student

Phone

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IRT Theatre Camp

Register

IRT Theatre Camp