HS: White Rose Sign Up & Payment Form

Date: Sunday March 31 Time: 2 PM (90 min running time with no intermission) Location: Theatre Three 410 West 42nd St.NY, NY 10036 Transportation is not provided. Meet at the theater or indicate if you would like to coordinate taking MetroNorth from Riverdale. https://whiterosethemusical.com/

Student Name

First Last

Grade

Student SAR Email

Ticket Fee(Required)

Price:

How will you get to the show?(Required)

I will get there on my own

I would like to meet at Riverdale MetroNorth and travel with a grouphoice

Other

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country