Step 1: Enrollment Form

All actors must complete the enrollment form below.

ATTENTION SIBLINGS:

If you are enrolling two students please complete this form for each student.

A CHORUS LINE ENROLLMENT FORM

Student Name

First Name

Last Name

Student Email

Student Pronouns

Student Age

Student School

Parent/Guardian Info

Parent Name

First Name

Last Name

Parent Phone

(###)

###

####

Parent Email

2nd Parent Name

First Name

Last Name

2nd Parent Phone

(###)

###

####

Emergency Info

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Student Medical History

Any current allergies, medications or medical conditions we need to be aware of?

Payment Info

Payment Preference

How will you be paying?

Step 2: Financial aid

If you are applying for financial aid please complete this form as well.

Financial Aid Application

Step 3: Payment

Pay in Full

$995 or

$1592 for Siblings

Pay Now

Financial Aid Deposit

$60

Pay Now

Payment Plan

$498 or

$796 for siblings

I would like to pay my full fee in two parts. I will pay the first half now and understand that the second half will be due on September 25th.

Pay Now

If you have any questions or would like additional information please contact reba@142throckmortontheatre.org

A CHORUS LINE: TEEN EDITION Enrollment & Payment

Step 1: Enrollment Form

Step 2: Financial aid

Step 3: Payment

$995 or

$1592 for Siblings

$60

$498 or

$796 for siblings