Gold Membership

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$250.00

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per item

6 FREE Show tickets, plus recognition in the Playbill

Parent Name *

Email Address *

Phone #, in case of emergency *

2nd Parent Name

2nd Parent Email

Name as you want it to appear in the Playbill *

Student Name (First, Last) *

Student's Current Grade Select all that apply 9th 10th 11th 12th Alumni No Student

Student's Base School *

Would you like your name and email to be included in the MTAS Parent Directory? Select all that apply Yes No

I will NOT use any MTAS Members' contact information included in the Directory for non-Theatre related purposes. I will not use others' emails for marketing or solicitation. Select all that apply I agree

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