Circle Theatre Presents: DIRTY DANCING Master Class and Show Tickets in partnership with Broadway Grand Rapids
Please complete this form to register for and purchase your Dirty Dancing Master Class and Show Tickets for JUNE 7, 2017! SPACE IS LIMITED to just 10 students; DEADLINE: MAY 22.


I am completing this registration form for:
CLASS PARTICIPANT(S)
This section is to list details about the person(s) attending the Dirty Dancing Master Class in Choreography. The cost per Master Class Participant is $77 - this includes the Master Class and show ticket. Have more than 2 people to register? Add their information at the end of this form.

NOTE: Minimum age to attend the class and Dirty Dancing The Musical as a part of this event is 14. Participants under the age of 15 require a Companion Ticket to the show, which can be selected in a section below. All Class Participants are encouraged to purchase a Companion Ticket if they'd like to bring a friend or family member to Dirty Dancing The Musical!

How many Class Participants are you registering?
FIRST AND LAST NAME (of Master Class Participant #1) *
Your answer
AGE (of Master Class Participant #1) *
Your answer
EXPERIENCE LEVEL (of Master Class Participant #1) *
FIRST AND LAST NAME (of Master Class Participant #2)
Your answer
AGE (of Master Class Participant #2)
Your answer
EXPERIENCE LEVEL (of Master Class Participant #2)
COMPANION TICKET INFORMATION
This section is to purchase Companion Tickets for Dirty DancingThe Musical in addition to those attending the Dirty Dancing Master Class in Choreography. The cost per Companion Ticket is $50. NOTE: Participants under the age of 15 require a Companion Ticket, which can be selected below.
How many Companion Tickets to Dirty Dancing The Musical would you like to purchase at $50 each?
BILLING AND REGISTRATION INFORMATION
This section is to capture the remaining information necessary to complete your reservation. Remember to review the information about the event at the end of this form!
Name of Cardholder *
Your answer
Complete Billing Address (Street, City, State, ZIP) *
Your answer
Email Address *
Your answer
Telephone *
Your answer
Credit Card Type *
Credit Card Number *
Your answer
Credit Card Expiration Date *
Your answer
Credit Card Security Code *
Your answer
How did you learn about this Master Class opportunity? *
Your answer
How did you learn about Circle Theatre? *
Your answer
Do you have additional participants to register for the Master Class? List their first and last name, age, and experience level below.
Your answer
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