Southwest Philadelphia
Cornerstone Academy 1939 South 58th St Philadelphia, PA 19143
Please fill out one registration form for each camper, even if they are attending the same camp.
Camper's Name Age
Birth Date Grade (completed in June)
Parent/Guardian Names
Address
City State Zip
Home Phone Number(s)
Work Phone Number(s)
Cell Phone Number(s)
Email
How did you learn about Yes! And... Summer Theatre Camp?
What, in this past year, has affected your child the most?
Does you child have an area of the arts that he/she is most interested in? (Check as many as apply.)
Acting
Visual arts
Dance
Writing
Music
Other
What do you understand to be your child's greatest challenges?
His/Her greatest strengths?
What three words best describe your child?
