InterAct Credit Card Payment Step 1 of 10 10% INTERACT REGISTRATION AND PAYMENT FORMStudents must have registered and paid the Festival Registration Fee (a separate expense) in order to participate in the InterAct Auditions and Interviews program. If you have any questions whether or not you have been registered for Festival, please check with your Faculty coach or sponsor prior to completing this form. FESTIVAL REGISTRATION* I have registered and paid the required Festival Registration fees required to participate in the InterAct program. YOUR NAME* First Last YOUR COLLEGE OR PROGRAM*Allan Hancock CollegeAmerican Academy of Dramatic ArtsAmerican River CollegeAmerican Samoa Community CollegeAntelope Valley CollegeArizona State University, PhoenixArizona State University, TempeArizona State University, West CampusArizona Western CollegeAzusa 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 CollegeIrvine 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 CollegeOccidental CollegeOrange 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 CollegeSaint 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 CollegeScottsdale 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 UtahUtah 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 CollegePREFERRED PRONOUNYOUR TELEPHONE NUMBERWE WILL USE THIS TO CONTACT YOU DURING FESTIVALYOUR EMAIL ADDRESS* Enter Email Confirm Email DOES YOUR PHONE RECEIVE TEXT MESSAGES?*YesNoStandard rates may apply. INTERACT TYPE*PERFORMANCE AUDITIONDESIGN, TECHNOLOGY, MANAGEMENT INTERVIEWBOTH FACULTY/SPONOR'S NAME First Last FACULTY/SPONSOR'S EMAIL ADDRESS Enter Email Confirm Email INTERACT FEESThe fee to participate in the InterAct Auditions and Interviews is $25. On-site registration will be available but limited to a first come, first served basis. If you are registering for your students, please list each students first name and last name and select what type of InterAct they are participating in (Audition or DTM Interview or BOTH). LOST BADGE 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 POLICYFESTIVAL REGISTRATIONS and INTERACT 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. INTERACT FEES, LOST BADGE, AND REFUND POLICY* I have read and understand the INTERACT FEES, LOST BADGE AND REFUND POLICIES. 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.This form serves as your receipt for the InterAct Auditions and Interviews. Each person must register individually. Please do not use autofill to complete this form. Thank you. Student participants in the InterAct Program must complete the Festival Registration and pay that fee in order to be eligible for the auditions and interviews.InterAct Registration:* Price: $25.00 Quantity: Total $0.00 Credit Card* MasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.