SHAKESPEARIENCE application form

(District Shakespeare version)

Select one:

       

Teacher’s Name:
School Name:
School Address:
School phone:
Email:
Cell phone:


Group Leader(if different from you):
Group Leader's Title:
Principal's Name:


Grade Level:
Number of student seats:

We require at least one chaperone for every fifteen students, and everyone attending must have a ticket.

Number of chaperone seats:
Total Number of seats:
The Student Matinees: please select a first, second and third choice date.
First Choice
Second Choice

Third Choice


If you are bringing multiple classes, please provide the name and email address of the other participating teachers:


Does anyone in your group need assistance or special accommodation?


Will your students be reading the play?:        
Has your school attended a SHAKESPEARIENCE Student Matinee in the past?:        
I agree that all classes attending the matinee will participate in a pre-show workshop. The School Programs Manager will contact me to schedule the in school workshops.