FALL/WINTER PRODUCTION 2013 REGISTRATION FORM
*PLEASE NOTE: Registration is not complete until initial deposit invoice is paid ($90). Please click the link on the "Thank You" page to submit your payment. ("Thank You" page appears after submitting this form.)
There is a one time additional $25 registration fee for those who are new to ACT TOO!.
NAME
*
AGE
*
GENDER:
(male or female)
*
PARENT/GUARDIAN NAME
*
HOME PHONE
*
CELL PHONE
*
EMAIL
*
ADDRESS
*
Street Address
*
Address Line 2
City
*
State / Province / Region
*
Postal / Zip Code
*
Country
*
SHOW SHIRT
$20 per shirt
*
Unisex Youth Medium
Unisex Youth Large
Unisex Adult Small
Unisex Adult Medium
Unisex Adult Large
Unisex Adult XL
Cap Sleeve Small
Cap Sleeve Medium
Cap Sleeve Large
Cap Sleeve XL
NO SHIRT
QUESTIONS/COMMENTS
*Please note that a "Pay Now" button will be available on the thank you page that opens after clicking on the SEND button below. This must be paid prior to the first rehearsal.
Powered by
EMF
HTML Contact Form
Report Abuse