Summer: Registration Form

Hartford Children's Theatre
360 Farmington Avenue
Hartford, CT 06105
Phone: 860-249-7970
Contact our staff directly
Buy Tickets Join Our Mailing List!
Donate Now!

Summer Youtheatre is a Program that runs Monday-Friday, 9-5pm.

To register for Hartford Children's Theatre's Summer Youtheatre (SYT) program, please complete the following. If you would like to apply for Financial Aid, you MUST complete the application along with this form. Click Here to fill out that form. If you have any questions, please call 860-249-7970.

We want to be prepared so every child has a great experience, so please fill out of the the following information completely.

Bold fields are required.

Student Information

Student's Name
Date of Birth
Male
Female
Grade (for the 2011-2012 school year)
Age
School
T-Shirt Size
My child would like to attend the NYC field trip. This year we will be attending the Broadway smash Mary Poppins! This trip will take place on July 11th. I understand that HCT must receive payment for NYC in order to reserve a seat. The cost is $115.
Summer Company

Early Drop Off/Late Pick Up Options

Please select you Early Drop Off/ Late Pick Up needs:
If you selected Special Arrangement, please specify your needs:

Family Information

Home Street Address
City, State, Zip
Primary Email Address
Additional Email Address
Parent/Guardian 1 Information
First & Last Name
Home Phone (Format: ###-###-####)
Cell Phone (Format: ###-###-####)
Place of Employment
Work Phone (Format: ###-###-####)
Parent/Guardian 2 Information
First & Last Name
Home Phone (Format: ###-###-####)
Cell Phone (Format: ###-###-####)
Work Phone (Format: ###-###-####)
Place of Employment

Emergency Medical Information

If Parent/Guardian is unavailable, in case of an emergency please contact
First & Last Name
Phone (Day) (Format: ###-###-####)
Phone (Night) (Format: ###-###-####)
Family Doctor
Name
Phone Number (Format: ###-###-####)
Restrictions or limits on physical activity
Allergies (including food)
Current Medications
Other Important Information

Pick-Up List

Please list all people authorized to pick up this student from HCT

Parent Permission

In completing this application I give permission for my child to participate in all program activities, including art projects and outdoor activities.
My child may be photographed and/or videotaped during the course of the program. Such images may be used for archival or promotional purposes by Hartford Children's Theatre.
Absences from class can affect my child's participation in class related performances.
It is HCT policy that students who miss Dress Rehearsal are not permitted to perform in the final performances. Dress rehearsal MUST be attended by all performers
*HCT is NOT responsible for lost, stolen or damaged items. We recommend that personal items remain at home.
I understand and agree.

HCT Policy

*Registration forms are due by June 15th. Tuition fees must be paid IN FULL at this time, or a $25 late fee will be applied
*HCT cannot offer refunds on programs that have begun. To be eligible for a class credit, cancellations must be received before the start of the program. All cancellations are subject to a 10% cancellation fee
* HCT reserves the right to combine or cancel classes that do not have minimum enrollment. Faculty, classes and schedule are subject to change at the management's discretion
* For more info please call 860.249.7970 before submitting registration forms
I understand and agree