The Antaeus Company 
     SHAKESPEARE COMPETITION
       
       (complete and email as an attachment to:
       shakespearematters@antaeus.org
       or fax to 818/506-8479)
     

        STUDENT REGISTRATION FROM		
			
	STUDENT INFORMATION		
			
	Name: 	
	
	Home Address:		
			
			
	Phone:		
	
        E-mail:		
	
        Grade:		
	
        Monologue: (Play Title)		
			
	Sonnet:		
			
	Parent/Guardian:		
	
        Phone:		
			
			
	SCHOOL OR SPONSORING ORGANIZATION INFORMATION:		
			
	Name of School or Sponsoring Organization:
		
	Mailing Address:		
			
			

	Phone:		


	Teacher/Coordinator:		


	Signature of Student:		

	Date:	     /  /     	


	Signature of Teacher/Coordinator:		

	Date:	     /  /