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1. Name

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2. Email Address

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3. Name of School

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4. Location of School (City or County, State)

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5. Grade(s) Taught

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6. Subject(s) Taught

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7. Date You Will Attend: July 17 OR July 18

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8. Have you brought a student group to the Birthplace of Country Music Museum before?

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9. Have you personally visited the museum before?

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10. Have you attended a teacher in-service workshop or exhibit introduction at the museum? If so, which one(s)?

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