Chicago Children's Theatre -

Join Now For Only $45!

Please complete the application form below to purchase your official Family Stage Pass. This family membership will entitle you to discounts on tickets and merchandise, as well as a host of other exclusive benefits.

2006-2007 Membership Application Form

Grownup #1
First Name:	Last Name:

E-Mail:

Grownup #2 (optional)
First Name:	Last Name:

Child #1
Name:	Birthday:
Child #2 (optional)
Name:	Birthday:
Child #3 (optional)
Name:	Birthday:
Child #4 (optional)
Name:	Birthday:

Contact Information
Phone:

Address:

Address 2:

City:

State:	Zip: