Theatre Pay to Play Your Name(Required) First Last Email(Required) How many children do you have in the cast?(Required)Only cast members are required to pay the $85 pay-2-play fee. Crew members are exempt. Price: $85.00 Quantity: Who are the Student(s) you are submitting this form for?(Required) Optional Show T-ShirtsSmall T-Shirt Price: $10.00 Quantity: Medium T-Shirt Price: $10.00 Quantity: Large T-Shirt Price: $10.00 Quantity: XL T-Shirt Price: $10.00 Quantity: 2XL T-Shirt Price: $10.00 Quantity: 3XL T-Shirt 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 American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.