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2021 CTAM Registration Form
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Home Address
Number and Street Address
*
Your answer
City, State
*
Your answer
Zip Code
Your answer
Preferred Phone Number
*
Your answer
Are you a member of the CTAM Listserv?
*
Yes
No - Please add my email to the listserv
No
Institution or Business - if you are K12, please list whether your institution is a High School, Middle School, or Elementary School.
Your answer
Institution Address
Institution Number and Street Address
Your answer
Institution City, State
Your answer
Institution Zip
Your answer
High School League Section if applicable
*
Choose
Not affiliated with a high school
1A
2A
3A
4A
5A
6A
7A
8A
1AA
2AA
3AA
4AA
5AA
6AA
7AA
8AA
Are you are a new or inexperienced coach that would like to be connected to our Speech coach mentoring program?
Yes
No
Clear selection
Are you interested in being a director mentee or mentor through the Perpich Center program? If so, please see these resources and forms. Theater Educator and Director MENTOR Inventory:
Theater Educator and Director MENTOR Inventory:
https://forms.gle/SZM9yK3utqsQ4pw86
Theater Educator and Director MENTEE Inventory:
https://forms.gle/Vcw2NPLyi7depw2R6
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