Performance Day Order Form Student Name*Parents with multiple students should submit one form per student. First Last Indicate this student's cast.*Dramini/SparksDramaticsTheatricksBravoEncoreChoose the performance - Dramini/Sparks*Ensure your students flowers or playbill is ready for you at your selected performance.Dramini/Sparks Fri 7:00 PMDramini/Sparks Sat 3:00 PMDramini Sat 7:00 PMChoose the performance - Dramatics*Ensure your students flowers or playbill is ready for you at your selected performance.Dramatics Thu 7:00 PMDramatics Fri 7:00 PMDramatics Sat 10:00 AMDramatics Sat 1:00 PMChoose the performance - Theatricks*Ensure your students flowers or playbill is ready for you at your selected performance.Theatricks Wed 7:00 PMTheatricks Thu 7:00 PMTheatricks Sat 4:00 PMTheatricks Sat 7:00 PMChoose the performance - Bravo*Ensure your students flowers or playbill is ready for you at your selected performance.Bravo Thu 7:00 PMBravo Fri 7:00 PMBravo Sat 2:00 PMBravo Sat 7:00 PMChoose the performance - Encore*Ensure your students flowers or playbill is ready for you at your selected performance.Encore Fri 7:00 PMEncore Sat 1:00 PMEncore Sat 7:00 PMSelect all items that you are interested in:*Select all that apply. All students receive one playbill as part of their performance fees. Playbill & Break-A-Leg-O-Gram Playbill & Business Ad Congratulations Rose Bouquets This field is hidden when viewing the formBreak-O-Leg-A-GramChoose your playbill and break-a-leg-o-gram option*All options include one playbill.1/2 Page Ad - $35Whole Page Ad - $60Full Open Spread - $110Enter the text for your Break-O-Leg-A-Gram*Please upload an image of your performer for the Break-O-Leg-A-Gram.Maximum file size is 64MB.Max. file size: 64 MB.This field is hidden when viewing the formBusiness AdBusiness Ad*Includes one playbill.1/2 Page Ad - $35Whole Page Ad - $60Full Open Spread - $110Enter the text for your business ad*File*Please enter your business logo and any other images you would like us to use. Maximum file size is 64MB. Drop files here or Select files Max. file size: 64 MB. This field is hidden when viewing the formCongratulations Rose BouquetsCongratulations Rose Bouquets*You'll love these congratulatory and musical themed bouquets for your performer. 3 Stem Wrapped Bouquet - $15Half Dozen Bouquet - $30Full Dozen Bouquet - $45Two Dozen Bouquet - $75Payment informationParent Name* First Last Parent Email* Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name
