Cantwell-Sacred Heart of Mary High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Welcome to the CSHM Children's Summer Stage theater program. This form will allow you to pay the program tuition fee. If you are making payments, please be mindful of the due dates.

There is also the option to purchase the program t-shirt.

If you have any questions, please email Mrs. Par Miyasaki at rpar@cshm.org

Tuition for 1 child

Full Program Payment - 1 Child

$620.00

Registration Fee - 1 Child

$150.00

(Due by May 30)

Payment #1 - 1 Child

$250.00

(Due by June 6)

Payment # 2 - 1 Child

$200.00

(Due by June 20)

Tuition for 2 children

Full Program Payment - 2 Children

$980.00

Registration Fee - 2 Children

$300.00

(Due by May 30)

Payment #1 - 2 Children

$350.00

(Due by June 6)

Payment # 2 - 2 Children

$300.00

(Due by June 20)

T-shirts

Qty

Description

Amount

Total

T Shirt - Youth Small

$25.00

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T Shirt - Youth Medium

$25.00

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T Shirt - Youth Large

$25.00

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T Shirt - Youth XL

$25.00

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T Shirt - Adult Small

$25.00

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T Shirt - Adult Medium

$25.00

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T Shirt - Adult Large

$25.00

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T Shirt - Adult XL

$25.00

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T Shirt - Adult 2XL

$25.00

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T Shirt - Adult 3XL

$25.00

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Discount Code

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Total: $0.00

Child(ren) Information

Child First Name: *

Child Last Name: *

Grade in Fall '25: *

Current Elementary School: *

Parent Information

Parent First Name: *

Parent Last Name: *

Parent Phone: *

Parent Email: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Phone: *

Email: *

A receipt will be emailed to this address.

Your Payment Information

Click 'Proceed to Confirmation' to proceed. Your payment information will be collected on the next page.