Registration Credit Card Closes January 31 Step 1 of 12 8% FESTIVAL REGISTRATION CREDIT CARD PAYMENT FORMThis form is to be used for group as well as individual registrations. If you are an individual please include the Institution/Affiliation to which you belong, but provide your personal phone, email, and address. If you are a group, please fill out the form for each attendee. Completing this form serves as your receipt/invoice for Festival Registration. YOUR COLLEGE, UNIVERSITY, OR ORGANIZATION*---Allan Hancock CollegeActor's Equity AssociationAmerican Academy of Dramatic ArtsAmerican River CollegeAmerican Samoa Community CollegeAntelope Valley CollegeArizona State University, PhoenixArizona State University, TempeArizona State University, West CampusArizona Western CollegeASTEPAzusa Pacific UniversityBakersfield CollegeBarstow CollegeBrigham Young UniversityBrigham Young University, HawaiiBiola UniversityCabrillo CollegeCalifornia Baptist UniversityCalifornia Institute of the ArtsCalifornia Lutheran UniversityCalifornia State Polytechnic University, PomonaCalifornia State Polytechnic University, San Luis ObispoCalifornia State University, BakersfieldCalifornia State University, Dominguez HillsCalifornia State University, FresnoCalifornia State University, FullertonCalifornia State University, Los AngelesCalifornia State University, Monterey BayCalifornia State University, NorthridgeCalifornia State University, San BernardinoCalifornia State University, San MarcosCalifornia State University, StanislausCentral Arizona CollegeCerritos CollegeCerro Coso Community CollegeChabot CollegeChaffey CollegeChaminade University of HonoluluChandler-Gilbert Community CollegeChapman UniversityCitrus CollegeCochise CollegeCollege of the CanyonsCollege of the DesertCollege of the SequoiasCollege of Southern NevadaCoconino Community CollegeColumbia CollegeConcordia University IrvineCrafton CollegeCypress CollegeCuesta CollegeCuyamaca CollegeDixie State UniversityEast Los Angeles CollegeEastern Arizona CollegeEl Camino CollegeEl Camino College Compton Community Education CenterEstrella Mountain Community CollegeFort Lewis CollegeFresno City CollegeFresno Pacific UniversityFullerton CollegeGavilan CollegeGlendale College (Arizona)Glendale College (California)Golden West CollegeGrand Canyon UniversityGreat Basin CollegeGrossmont CollegeHartnell CollegeHawaii Pacific UniversityImperial Valley CollegeIndependent/Professional Theatre ArtistIrvine Valley CollegeLa Sierra UniversityLas Positas CollegeLeeward Community CollegeLong Beach City CollegeLos Angeles City College Theatre AcademyLos Angeles Harbor CollegeLos Angeles Mission CollegeLos Angeles Southwest CollegeLos Angeles Valley CollegeLoyola Marymount UniversityMarymount California UniversityMaui Community CollegeMerced CollegeMesa Community CollegeMiraCosta CollegeModest Junior CollegeMojave Community CollegeMonterey Peninsula CollegeMoorpark CollegeMt. San Antonio CollegeMt. San Jacinto CollegeNorthern Arizona UniversityNorthland Pioneer ColegeOccidental CollegeOpen Jar InstituteOrange Coast CollegeOxnard CollegePalos Verde CollegePalomar CollegeParadise Valley Community CollegePasadena City CollegePepperdine UniversityPhoenix CollegePima Community CollegePierce CollegePoint Loma Nazarene CollegePomona CollegePorterville CollegeReedley CollegeRio Hondo CollegeRiverside Community CollegeSaddleback CollegeSAG-AFTRASaint Mary's College of CaliforniaSalt Lake Community CollegeSan Bernardino Valley CollegeSanta Ana CollegeSan Diego City CollegeSan Diego Mesa CollegeSan Diego Miramar CollegeSan Diego State UniversitySanta Barbara City CollegeSanta Monica CollegeSanta Rosa Junior CollegeSantiago Canyon CollegeSDCScottsdale Community CollegeSnow CollegeSoka UniversitySouth Mountain Community CollegeSouthern Utah UniversitySouthwestern CollegeTaft CollegeUniversity of ArizonaUniversity of California, IrvineUniversity of California, Los AngelesUniversity of California, MercedUniversity of California, RiversideUniversity of California, San DiegoUniversity of California, Santa BarbaraUniversity of California, Santa ClaraUniversity of California, Santa CruzUniversity of GuamUniversity of Hawai’i at HiloUniversity of Hawai’i at Kapi’olani,University of Hawai’i at ManoaUniversity of La VerneUniversity of NevadaUniversity of Nevada, Las VegasUniversity of San DiegoUniversity of Southern CaliforniaUniversity of UtahURTAUSITTUtah State UniversityUtah State University EasternUtah Valley UniversityVanguard University of Southern CaliforniaVentura CollegeVictor Valley Community CollegeWeber State UniversityWest Hills College, CoalingaWest Los Angeles CollegeWestminster CollegeWestmont CollegeWhittier CollegeWindward Community CollegeYavapai CollegeFORM FILER'S NAME* NAME POSITION (Chair, Administrative Assistant, etc.) FORM FILER'S PHONE NUMBER*FORM FILER'S EMAIL ADDRESS*EMAIL ADDRESS WHERE RECEIPT WILL BE SENT. REGISTRATION FEESFestival Registration Rates (non-refundable): Through January 15: $95.00 (available online starting October 1) January 16-31: $105.00 On-site Registration: $125.00 Day Pass: $55.00 The total number entered here must match the number of Participants entered. REFUND POLICYFESTIVAL REGISTRATIONS are refundable or transferrable (i.e. switching names from one person to another) at the rate paid, up to 24 hours prior to the first event of the Festival. Once the Festival has begun, FESTIVAL REGISTRATIONS will not be refunded. FESTIVAL REGISTRATIONS purchased on-site (during Festival) are not eligible for a refund. LOST BADGE FEE POLICYFESTIVAL participants must be registered for Festival and carry a badge at all times. If, for any reason, a badge is lost, participants will not have access to any Festival event. Participants may go to the Festival Registration table and obtain a replacement badge for $10.00. Refund, Transfer, and Lost Badge Policies* I understand the Festival Registration Refund/Transfer, and Lost Badge Fee Policies, and have communicated these to the Festival Participants. PHOTOGRAPH POLICYBy registering for Festival, attendees to KCACTF Region 8 understand that photographic images may be taken and posted on kcactf-8.org and Region 8 social media outlets. If an individual or organization disagrees with this policy, an email must be sent to firstname.lastname@example.org prior to the start of the KCACTF Region 8 Festival. I agree to the photograph policy. Faculty Liaison for Festival (aka Faculty Chaperone)*Faculty Liaison Cell Phone Number for Festival*Faculty Liaison Email* FESTIVAL REGISTRATIONParticipants must select a WEEK PASS or the appropriate DAY PASS. Whomever is completing this form must enter a "0" (the number zero) in the boxes that are not being purchased. For example, if an individual or school is buying 5 Week Passes and 2 Saturday Passes, a "0" must be entered in Tuesday, Wednesday, Thursday, and Friday. FESTIVAL PARTICIPANTS*If you are an individual please include the Institution/Affiliation to which you belong, but provide your personal phone, email, and address. If you are a group, please fill out the following for each attendee. Completing this form serves as your receipt/invoice for Festival Registration. First Name Last Name (e.g. John Smith)Program Area (i.e. ASPIRE, Dramaturgy, DTM, Directing, Directing Scene Partner, Irene Ryan Nominee, Irene Ryan Partner, ITJA, MTI, NPP, Stage ManagementStudent or Faculty or Staff WEEK PASS(ES): Price: $95.00 Quantity: TUESDAY PASS(ES): Price: $55.00 Quantity: WEDNESDAY PASS(ES): Price: $55.00 Quantity: THURSDAY PASS(ES): Price: $55.00 Quantity: FRIDAY PASS(ES): Price: $55.00 Quantity: SATURDAY PASS(ES): Price: $55.00 Quantity: BILLINGAfter you enter your credit card information, please press SUBMIT only once and do not refresh the page. Doing so may result in multiple charges to your account. Total $0.00 Credit Card* MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.