MHS THEATRE SOCIETY MEMBERSHIP (2017-2018)

(PLEASE FILL OUT COMPLETELY AND TURN IN WITH CHECKS ASAP)

Name: _________________________       Year of Grad:  __________

Address:  ________________________________________________

Telephone number(s):  ______________________________________

Your school Email Address:  _________________________________

Parent/Guardian Name(s): ___________________________________

Parent/Guardian Phone Number(s): ____________________________

Parent/Guardian Email Address(es): ___________________________

Please list any allergies or other important considerations of which

we should be aware:  

________________________________________________________

________________________________________________________

I will be willing to help in the following areas:  (check all that apply):        

Building Sets ____

Artwork (i.e. Painting Sets/Props) ____

Costumes ____

Props ____

Sound _____

Lighting _____

Publicity ____

Front of House / Tickets ____

Programs ____

Make Up / Hair ___

TWO PAYMENTS SHOULD BE ATTACHED AS FOLLOWS:

                       1.   DUES $25 

    cash or check made out to MEDFIELD HIGH SCHOOL

         2.  ACTIVITY FEE $25    (If you haven’t already paid through another club)

    check only made out to MEDFIELD PUBLIC SCHOOLS

(Please note below if you have turned in your Activity Fee through another club, and specify that club.)