top of page
Registration Fom
Class Registration

Please identify each child and select a class

YPPC relies on Grants to provide theatre classes at the lowest price possible. To continue to receive grants, we must request to obtain participant demographics.

Does your child have any allergies, epi pen, or medications we should be aware of? (For multiple children, please list name before information)

We teach and practice safety protocols at YPPC. In the event your child becomes ill or is injured during class and you are not reachable, please let us know which treatments you approve. Please check all that apply.

Emergency Treatment

I/we agree to hold harmless YPPC, YPPC Staff, and the Durham Arts Council for any cause of action, claims or demands, now or in the future. I/we will not hold the aforementioned liable for any personal injury or personal property damage which may occur on the premises during or after class activities. Furthermore, I/we agree to follow the class and facility rules and take full responsibility of my/our behavior as part of the YPPC program.

Hold Harmless

Does your child have any dietary restrictions we should be aware of?

(For multiple children, please list name(s) before information)

Does your child have any behavioral, developmental, or emotional challenges that we should be aware of? For multiple children, please list name(s) before information)

Is there anything else about your child that you think would be useful for us to know? (for multiple children, please provide name before information)

We do our best to accomodate students with special needs, however we are not formally trained in this area. We ask that parents of children with significant social, behavorial, or develomental challenges be on the premises during class. Or even better, become a class assistant.

Would you like to join our Volunteer Program?

Volunteer?

Informed Consent & Acknowledgements

I/we hereby give my approval for my/our child(ren)'s participation in any and all activities prepared by YPPC staff and volunteers. I/we realize that participating in Theatre classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By agreeing to this notice, I/we, the parent/guardian(s) of the child(ren) listed above, assume all risks related to the use of any and all spaces used by YPPC at the Durham Arts Council.

Informed Consent

Media Disclosure 

Members of YPPC may periodically photograph students participating and working during camp. These photographs may be used in a variety of ways; Public relations and marketing purposes: images printed on brochures, posters, and newsletters, or on other art, education, or news related publications. Please indicate whether you will allow publication of photographs taken of your child/children during camp. Names will not be included in photographs or posted on social media. We appreciate your support and would love the chance to share pictures of all of the fun being had at our theatre class.

Media Disclosure

Confirmation & Signature

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

No matter age, experience, role, race, religion, nationality, orientation, identity, affiliation, status, ability, place on the spectrum, ALL students are equals at YPPC

Young People's Performance Company

New Class for 2023!

Creative Movement with 

Rebecca Drake-Pelli

logo_edited.png

(919) 972-6818

bottom of page