High School Musical Registration Form

Student Name(Required)

First

Last

Parent Name(Required)

First

Last

Activity Fee(Required)

Price:

Would you like to pay to cover the credit card processing fees?(Required)

Yes

Credit Card Processing Fee

Price:

Phone(Required)

Email(Required)

Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date

Month

Year

Security Code

Cardholder Name

Total

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