Millersport Community Theatre 2026 Membership Form

Millersport Community Theatre
P.O Box 637 Millersport, OH 43046
Membership Registration Form
18+ Member/ Jr Member Guardian:
Name:
Email:
example@example.com
Phone:
Mailing Address:
Additional 18+ Member:

(optional)
Name:
Email:
example@example.com
Phone:
Mailing Address:
Jr Member 1:

(Optional)
Jr Member:
Age:
Jr Member 2:

(Optional)
Jr Member:
Age:
Jr Member 3:

(Optional)
Jr Member:
Age:
Angel of MCT* - $200+Benefactor of MCT* - $150Patron of MCT* - $100Friend of MCT* - $50
Single 18+ Membership - $10
Number of single memberships
Jr Membership** - No Fee
Number of Jr Memberships
Total cost to be paid to MCT:
*All donation levels Friend of MCT and above include single membership.
**Guardians of Jr Members DO NOT need to become MCT members.
All donations and contributions are tax-deductible; online payment options are available at
www.mctohio.com.
Should be Empty:

Millersport Community Theatre