REGISTRATION APPLICATION

Applicant's Name

First Name

Last Name

Gender Identity

Birthdate

MM

DD

YYYY

High School

Current Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

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Email Address

Please list previous acting experience (if any) such as other programs, school plays, etc...

Please describe why you want to participate in this Shakespeare Intensive.

Parent/Guardian 1 - Name

First Name

Last Name

Parent/Guardian 1 - Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 1 - Phone

Country

(###)

###

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Parent/Guardian 1 - Email

Parent/Guardian 2 - Name

First Name

Last Name

Parent/Guardian 2 - Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 2 - Phone

Country

(###)

###

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Parent/Guardian 2 - Email

Additional Comments