Summertime means a lot of things to a lot of people but here at the

Summertime means a lot of things to a lot of people but here at the Lorain Palace Theater summer
means it is time for our beloved summer Palace Youth Theater program.
2017 is a BIG year for Palace Youth Theater! Now in it’s 40th season this year will be a celebration of
Palace Youth Theater’s long and storied history that will culminate with “SHREK: The Musical Jr.”
As usual, all of our students will all get a comprehensive theater education experience in our beautiful,
historic theater as well as be a part of our full stage production!
The 2017 Palace Youth Theater activities begin with a Parents / Student Meeting on Saturday, June
10, 2017 at 10:00 AM to discuss the program, meet the staff, and learn how parental involvement is
the key to the success of the program. Auditions will be held the first two days of camp. Students,
ages 8 through 18, begin daily classes on Monday, June 12, 2017. A six-week blending of Theater
education, technology (NO child will be on tech crew. We will have tech classes only!), and selfesteem building experiences, concluded by the presentation of a full-scale, family oriented musical
Theater production on Friday, July 21, Saturday, July 22, and Sunday, July 23 2017. The Palace
Youth Theater Program offers a fun and rewarding experience for all.
CLASSES RUN DAILY FROM 9:15 AM – 2:00 PM (July 4th Off)
Monday, Wednesday, Thursday, and Friday – Participants should bring a lunch on these days. We
do sell large water bottles for $1.00 if they do not bring their own beverage. We do have
“Pizza Friday” where the students will be able to purchase pizza, pop and candy at a reduced rate. An
order form is sent home each Monday for pizza and is to be returned by Wednesday.
Tuesday – Classes are dismissed at 12:00 PM due to the Summer Fun Movie Series.
Students must be picked up by 12:00 PM unless they have permission to attend the movie. Students
staying for the movie should bring a lunch on Tuesday as well. The Summer Fun Movies are FREE to
PYT students!
Tuition: our “Early Bird” special is $275.00 per student and begins September 1, 2016 and must paid
in full by April 1, 2017 after which tuition is $350 per student and must be paid in full by June 10,
2017 – NO EXCEPTIONS! Tuition includes a DVD of the show, T-Shirt, and a cast party the last
night of the performance. (Not to mention the six weeks of memories your child will walk away with
and the opportunity to say “I played the Palace on Broadway!”) Expenses and budgeting are based on
the number of students enrolled in the program and therefore we cannot offer refunds for any
reason. The program this year will be limited to only 75 participants, who must be age 8 – 18 on or
before June 10, 2017.
The registration process begins with this letter and the registration form. We also require a Student
Waiver Form, t-shirt size and a 2×3 head shot picture of your child. We DO NOT need any bigger size
picture. Please complete these forms and return them before June 10, 2017 at 3:00 PM. Please make
all checks payable to: Lorain Palace Theater. Visa and MasterCard are also accepted.
NOTE: The Palace Theater box office is open Tuesday, Wednesday, and Thursday from 10:00 AM to
3:00 PM for your convenience of registering.
As enrollment is limited, we suggest you complete and submit your application, FULL payment,
forms and picture as soon as possible. We will honor requests for registration on a first come,
first served basis for any openings available after January 1, 2017. Note: If enrollment is full
before your registration materials and payment are received, your money will be refunded.
For additional information or questions please call Lorain Palace @ (440) 245-2323.
For the safety of all students and staff, it is imperative that students follow our dress code guidelines.
Please take notice of what your child is wearing before dropping him or her off at the Palace. All
students and staff must wear shoes that enclose the entire foot; no sandals, flip flops, Crocs or clogs.
Tennis/athletic shoes are preferred when not in costume. Only walking shorts and long pants are
allowed; NO short shorts and skirts. They leave more space for injury. NO JEANS. Appropriate
undergarments and long/short sleeve, traditional full-body shirts must be worn at all times; NO cap
sleeves, halters, spaghetti straps, or exposed midriffs due to dancing, stretching, or bending. We don’t
want students to become embarrassed or worried about personal hygiene concerns. We may ask for a
paint/cleaning shirt that can get highly dirty.
Thank you for your interest in the Palace Youth Theater this year. We are looking forward to hearing
from you!
WHAT TO INCLUDE WHEN SENDING IN YOUR PAYMENT:
1.
2.
3.
4.
Application
Payment ($275 on or before April 1, 2017: $350 on and after April 2, 2017)
T-shirt form
Summer Waiver
2 x 3 head shot picture of your child
Printable information and application form here:
2017 LORAIN PALACE YOUTH THEATER
STUDENT REGISTRATION FORM
DATE_____________________
STUDENT’S NAME___________________________________________
PHONE (_____)______________________
ADDRESS_______________________________________ CITY____________________ STATE____ ZIP___________
BIRTH DATE ______________ AGE (as of 6/10/17) _________ SCHOOL GRADE (entering in fall 2017) ____________
HEIGHT ______ (INCHES)
WEIGHT _____ (LBS.) HEALTH CONCERNS: ___________________________________
(LIST ANY WE SHOULD BE AWARE OF)
MOTHER’S NAME: _______________________________ FATHER’S NAME: _________________________________
MOTHER’S ADDRESS: _____________________________________________
PHONE: (_____)_______________
(If different from student) FATHER’S ADDRESS: ______________________________________________
different from student)
PHONE: (_____)_______________ (If
MOTHER’S E-MAIL: _______________________________ FATHER’S E-MAIL: ____________________________
EMERGENCY CONTACT: ____________________________________________ PHONE: (_____)_______________
(if parent is unreachable)
LIST PREVIOUS THEATER TRAINING EXPERIENCE: ____________________________________________________
LIST PREVIOUS DANCE EXPERIENCE: _______________________________________________________________
MUSICAL INSTRUMENTS PLAYED: __________________________________________________________________
PLEASE LIST ANY DATES YOU ARE AWARE OF THAT YOU WILL MISS DUE TO VACATION, ETC: ____________
_________________________________________________________________________________________________
TUITION FEES:
$275.00 PER STUDENT Until April 1, 2017 $350 on and after April 2, 2017
NO REFUNDS (AGES 8 TO 18 by June 10, 2017)
ENCLOSE CHECK OR MONEY ORDER PAYABLE TO: Lorain Palace Theater
VISA or MC ACCOUNT # _____________________________________ EXP. DATE ____________
MAIL TO:
THE LORAIN PALACE THEATER
PYT 2017
617 BROADWAY
LORAIN, OH 44052
PRIORITY REGISTRATION DEADLINE: January 1, 2017; OTHERS LIMITED SPACE AVAILABLE
OFFICE USE ONLY:
TUITION PAID $_____________ DATE_____________ CHECK NO./CASH________________ RECEIVED BY:
____________________________________ CREDIT CARD APPROVAL # ______________________
2017 SUMMER YOUTH THEATER WORKSHOP STUDENT WAIVER
RELEASE & INDEMNIFICATION FORM
LORAIN PALACE THEATER
STUDENT’S NAME: _____________________________________________________________
(PLEASE PRINT)
In consideration of permission to enter the premises of the Lorain Palace Theater, and further
consideration of permission to participate as a paid student at the Lorain Palace Theater, I, parent or
guardian, of the above named student, being of lawful age, for myself, my heirs, administrators, executors,
successors and assigns hereby fully and forever release, acquit and discharge the Lorain Civic Center
Committee, Inc., together with its successors and assigns, its members, its trustees, its officers, its
employees and/or agents from any and all actions, causes of action, claims and demands of whatsoever
kind or nature arising out of the above students activities during his/her participation of the 2016 Summer
Youth Theater Workshop at the Lorain Palace Theater.
Furthermore, I hereby agree to indemnify the Lorain Civic Center Committee, Inc., its successors and
assigns as well as its members, trustees, officers, employees and agents from and against all liabilities,
judgments, decrees, fines, penalties, expenses, fees, amounts paid in settlement or any other costs, losses,
expenses (including, but not limited to attorney's fees and court costs) arising or resulting from or in
connection or association with the workshop activities as a student at the Lorain Palace Theater.
PARENT/GUARDIAN:
__________________________________________________________
WITNESSED BY: ______________________________________________________________
DATE: _______________________
2017 PYT T-Shirt Order
Form Lorain Palace Youth Theater
A t-shirt will be created for this year’s production.
ALL REGISTERED STUDENTS RECEIVE A T-SHIRT AS PART OF THEIR ENROLLMENT FEE.
IF YOU WOULD LIKE TO PURCHASE AN ADDITIONAL T-SHIRT, PLEASE MAKE A NOTE OF THE SIZE &
QUANTITY BELOW THE NAME LINE.
Please complete this form to be sure that your son or daughter receives this lasting memento of their 2017 PYT
experience. THANKS!
FORM MUST BE TURNED IN WITH PARENT PACKET BY JUNE 10th, 2017
STUDENT NAME: ________________________________________________________
YOUTH SIZES:
_____ Medium (10-12)
_____ Large (14-16)
ADULT SIZES:
_____ Small (32-34)
_____ Medium (36-38)
_____ Large (40-42)
_____ Extra-Large (44-46)
_____ Double Extra-Large (48-50)
_____ Triple Extra-Large (52-54)