2021-2022 School Year

Complete the Virtual Arts In Education form below to receive a link to our Three Billy Goats Gruff virtual materials. ***Link will be available in the confirmation message of this form.***

Contact wesley@triketheatre.org with any questions.

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* 1. Applicant's Name

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* 2. Applicant's Email Address

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* 3. Applicant's Phone Number (xxx)xxx-xxxx

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* 4. School Name

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* 5. School Address (Street/City/Zip)

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* 6. School Phone Number (xxx-xxx-xxxx)

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* 7. Grade

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* 8. Number of classrooms

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* 9. Number of students

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* 10. Estimate the number of students you impact

  Free or Reduced lunch IEP or 504 support plan English Language Learners
Number of students

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* 11. Estimate the number of students you impact 

  Female Male
Number of students

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* 12. Estimate the number of students you impact

  African American/Black Asian Native American/Alaska Native Bi/Multiracial Caucasian/White Hispanic/LatinX Native Hawaiian/Pacific Islander Other
Number of students

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* 13. How did you hear about Trike Theatre's virtual on-demand programming?

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* 14. In which Arkansas county is your school located?

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