Youth Theatre Payment

Payment Form - Youth Theatre

Name*
First Last
Child's Name*
First Last
Child's Age
Child's Name
First Last
Child's Age
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
$325 RENT Quantity
Price: $325.00
$175 RENT (Installment 1) Quantity
Price: $125.00
$150 RENT (Installment 2) Quantity
Price: $100.00
$375 A Year With Frog & Toad Kids Paid in Full Quantity
Price: $375.00
$125 A Year With Frog & Toad Kids Installment Plan Quantity
Price: $125.00
Installment 1 @ registration Installment 2 by August 1 Installment 3 by August 29
$100 Sponsor a Child in Need Quantity
Price: $100.00
Enter the quantity to increase amount in denominations of $100
$275 Acting Lesson-5 Hours Quantity
Price: $275.00
$60 Acting Lesson-1 Hour Quantity
Price: $60.00
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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