Break a Leg Order Form - Submission Deadline: April 17, 2026 (Midnight)
Rebels with Applause - Columbine High School
Surprise your favorite 12 Angry Jurors cast or crew member with a short message printed in the show program! Cost is $5 per Break-a-Leg message. Proceeds help fund the CHS Theater program.
You may order messages for multiple cast or crew members. Please be sure to include “To” and “From” in your message. Messages will be printed exactly as entered in the Message box. If you have more than four message, please submit an additional form. Thank you!
Name of Person Placing Order
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Break A Leg! Message #1
Maximum of 4 Lines
Break A Leg! Message #2
Maximum of 4 Lines
Break A Leg! Message #3
Maximum of 4 Lines
Break A Leg! Message #4
Total
*
prev
next
( X )
Break A Leg!
$
5.00
Quantity
1
2
3
4
Total
$
0.00
Credit Card
Submit
Should be Empty: