Registration
Purchase your reservation for a Live-stream link for "Snow White"
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
 
Questions/Options:
Which performance are you requesting a livestream link for? Please answer 1 pm or 5 pm?*
I give White Marsh Ballet Academy permission to charge the credit card provided in this reservation for the live stream link requested. I understand that the charge to my credit card will be $20.00.*
 
Additional Information:
 
Live Stream Purchase Agreement
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*