State Theatre - Education | Education Application

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Program space is limited; we encourage you to apply as early as possible to avoid disappointment! Registration will be on a first-come, first-served basis. If you would like to register for both the fall and spring series, please indicate a first choice in the event that we can only accommodate you for one of the series.

Series Preference: (if requesting both series, please indicate your first choice.)
1st Choice:
2nd Choice :

Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
E-Mail Address:
School Affiliation:
Major:
Year:
Please inform us of any special accessiblity and/or dietary needs:

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