2011 LOVEWELL/TEEN SUMMER STOCK PAYMENT

 

To submit payment for the full $550 Enrollment Feefor the
Lovewell/Teen Summer Stock 2011 via PayPal, complete the information below.
After submitting this form you will be directed to
PayPal where you can make payment with your credit card or PayPal account.
(A PayPal account is not required to pay with a credit card via PayPal)

If you wish to pay only the Minimum Enrollment Fee of $150 at this time, you must download the
Registration Forms (PDF) and mail them along with your payment
PayPal

Note: One registration for per student.

Please supply the following contact information:

 
Student Name:
Parent/Guardian Name:
Street Address:
City/State/Zip:
Cell Phone:
Other Phone:
E-mail:
   
 
 
Amount of Payment: