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.

Heathers 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

$1375

Pay Now

Financial Aid Deposit

$60

Pay Now

Send A Check

Please make checks payable to:

142 THROCKMORTON THEATRE

ATTN: West Side Story Enrollment

PO BOX 1058, MILL VALLEY CA 94942

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

HEATHERS Enrollment & Payment

Step 1: Enrollment Form

Step 2: Financial aid

Step 3: Payment

$1375

$60