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.
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