Shady Shakespeare - Education - 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

fan/follow
us

support us