North Carolina Poetry Out Loud 2017-2018 Registration Form
Poetry Out Loud is a program of the National Endowment for the Arts and the Poetry Foundation and is coordinated by the North Carolina Arts Council in partnership with Triad Stage.

Please fill out this form in order to register your school for the North Carolina Poetry Out Loud program for 2017-2018. Once we receive your registration, we will mail out your Poetry Out Loud Teacher Toolkit within one week. Please contact poetryoutloud@triadstage.org with questions or concerns.

Your Name (First and Last)
Your answer
Your Job Title
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Your Preferred Email Address
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Your Secondary Email Address (OPTIONAL)
Your answer
School Name
Your answer
School Street Address
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School City, State
Your answer
School Zip Code
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School Phone Number
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Preferred Phone Number (OPTIONAL)
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School District
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County
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Estimated Number of Participating Students
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Estimated Number of Participating Teachers
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Are there any other teachers you would like us to contact who might be interested in participating (Please list their names and emails)? (OPTIONAL)
Your answer
Would you like an extra Teacher Toolkit for a colleague?
If yes, how many should we send?
Your answer
Any other information you'd like us to know?
Your answer
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