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register for a class

To register for a class with the Bard Academy, please complete the following form. Once submitted you will be able to pay for your registration either via PayPal or by sending in a printed registration form with a check. Your registration will be complete once payment has been received.

Class
   
Student Information
First Name
Last Name
Address
City
Zip Code
Email
Primary Phone
Alternate Phone
Model I will provide my own model I will need a model provided for me
Age
Gender Female Male
What school do you attend?
Date Of Birth
   
Parent / guardian Information
First Name
Last Name
Address
(if different than above)
Home Phone
(if different than above)
Cell Phone
Work Phone
   
Emergency Contact Information
Same as Parent / Guardian Information Above
First Name
Last Name
Address
Home Phone
Cell Phone
Work Phone
Questions/Comments
   

 

Prospero
It is not in the stars to hold our destiny, but in ourselves.
William Shakespeare

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