Theatre Pay to Play Your Name(Required) First Last Email(Required) How many children do you have in the cast? QuantityOnly cast members are required to pay the $85 pay-2-play fee. Students only on crew are exempt. Price: $85.00 Quantity Who are the Student(s) you are submitting this form for?(Required) Optional Show T-ShirtsSmall T-Shirt Quantity Price: $10.00 Quantity Medium T-Shirt Quantity Price: $10.00 Quantity Large T-Shirt Quantity Price: $10.00 Quantity XL T-Shirt Quantity Price: $10.00 Quantity 2XL T-Shirt Quantity Price: $10.00 Quantity 3XL T-Shirt Quantity Price: $10.00 Quantity Payment InformationScholarship CodeIf the cost of pay-2-play is a difficulty for your family, please email Elle at email@example.com. We do not want pay-2-play to keep a student from participating and we have scholarships available to help alleviate the cost. Total Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.