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Please provide the following information (*required)
First Name*
Last Name*
Address*
City*
State / Province*
Zip Code*
Phone (day)*
Phone (evening)
Email*

1.
Please select the workshop you wish to attend.
K-12 Administrator
K-12 Teacher

2.
If your choice is K-12 Teacher, would you please indicate the grade level and subject(s) you teach.

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3.
Are you ready to submit this form? If so, check "Yes", then click the "Submit" button below.
Yes

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Surprising Solutions: Arts Education

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