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ADDRESS INFO
Membership Type *	Fiddler on the Roof Cast ($15.00 for period up to 04/30/2012) Fiddler on the Roof Crew ($15.00 for period up to 04/30/2012) Fiddler on the Roof Pit ($15.00 for period up to 04/30/2012) Fiddler on the Roof Pit Fiddler on the Roof Program One Liner ($5.00 for period up to 03/01/2012) One Liner AD - Spring 2012 Fiddler on the Roof 1/4 Page Program Ad ($30.00 for period up to 03/01/2012) Fiddler on the Roof 1/2 Page Program Ad ($50.00 for period up to 03/01/2012) Fiddler on the Roof Full Page Program Ad ($75.00 for period up to 03/01/2012)
Payment System *	PayPal secure credit card payment
Students Name * Your First & Last name
Parent E-Mail Address * A confirmation email will be sent to you at this address
Confirm your Parent E-Mail Address * A confirmation email will be sent to you at this address
Login Name (LastNameFirstInitial) * If login is already used, add more letters of your first name
Choose a Password * Must be 6 or more characters
Confirm your password * Enter password again
Parent or Guardian Name * Please enter parent name associated with the parent email address above.
Parent or Guardian Cell Phone *
Student Email Address * Students Email Address)
Confirm Student Email Address
Student Cell Phone Cell phone number
Home Phone *
Emergency Contact If other than Parent or Guardian, type in name
Emergency Contact Phone * Type in phone number associated with the EMERGENCY CONTACT if not your parent or guardian home phone
Grade * Student Grade
T Shirt Size * T Shirt Size
Committee * Parents - Select a committee or two that you are willing to help	Activities Support Advertising Back Stage Cast Food Concessions Costumes Chaperones (K-8) Front of House and Ushers Hair and Make Up Kiss The Cast-Flowers Props Senior Awards Sets Tech and Lighting Tickets Volunteer Party
Chairperson Would you be interested in chairing this committee if there is a vacancy?	No Yes
Committee (second choice) Please select a second choice for case where the committee is full or select none if not interested in serving on another.	None Activities Support Advertising Back Stage Cast Food Concessions Costumes Chaperones (K-8) Front of House and Ushers Hair and Make Up Kiss The Cast-Flowers Props Senior Awards Sets Tech and Lighting Tickets Volunteer Party
Country*
State*
City*
Street Address*
ZIP*