Student Name: _____________________________  Grade: __________    
Parent Name(s): _____________________________________________
Address: ___________________________________________________
Home Phone: _________________  Work Phone: __________________
Parent Email Address: ____________________________ (please print legibly)

Family Financial Contribution:

Cast Assessment          $10 recommended donation per cast member              $______

Final Week Food         $15 per cast/crew member                                          $______

(includes dinner for Mon, Tues, Sat; AM post-performance for Wed; cast party and cast gift for directors)

Optional:

Dear Edwina, Junior  T-Shirt (100% cotton)  

$10 each                      Adult Sizes:      S          M         L          XL                  

Total Number of T-shirts: _________  x $10 each =                                         $_____

Memorabilia Option #1

Total Number: ________ x $5 each =                                                             $______

Memorabilia Option #2

Total Number: ________ x $10 each =                                                            $______

Additional Family Contribution (optional and much appreciated)                        $______

                                                            Total Enclosed:                                     $______

Many Thanks for All of Your Support!