Shakespeare's Studio: Youth Workshop
with The New Orleans Shakespeare Festival at Tulane
STUDENT INFORMATION
Full Legal Name
*
First Name
Middle Name
Last Name
Student Preferred First Name (name you would like us to address you by)
*
Date of Birth (mm/dd/yyyy)
*
-
Month
-
Day
Year
Date
Student Primary Email
*
example@example.com
Student Cell Phone Number
*
Please enter a valid phone number.
Student Home Phone Number
*
If same as cell phone, please enter twice
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
FIRST PARENT/GUARDIAN
First Parent/Guardian First and Last Name
*
First Name
Last Name
Parent Primary Email
*
example@example.com
Custodial. Select ‘Yes’ if this parent/guardian is the student’s legal custodial guardian.
*
Yes
No
Cell Phone Number
*
Home Phone Number
*
If same as cell phone, please enter twice
Work Phone Number
*
Is the first parent/guardian address same as the student applying?
*
Yes
No
SECOND PARENT/GUARDIAN (optional)
First Parent/Guardian First and Last Name
First Name
Last Name
Parent Primary Email
example@example.com
Custodial. Select ‘Yes’ if this parent/guardian is the student’s legal custodial guardian.
Yes
No
Cell Phone Number
Home Phone Number
Work Phone Number
Is the first parent/guardian address same as the student applying?
Yes
No
ADDITIONAL INFORMATION
High School Name
*
Current Grade
*
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
How did you hear about us?
*
Please Select
Family
Friend
Performance for the Schools (Romeo and Juliet)
Newspaper
Internet
Magazine
Other
Submit
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