Name of School

School Street Address:

City:

State:

Zip:

Phone:

Fax:

Is your School Theatre Department a member of the International Thespian Society?

YES NO

Would you like to be? (Please visit www.etassoc.org, or call (513) 421-3900.)

YES NO

Thespian Troupe Number:

Number in Troupe:

Troupe Representative (Student):

Troupe Sponsor (Adult):

Sponsor's contact info (if different from above):

Sponsor's Street Address:

Sponsor's City:

Sponsor's State:

Sponsor's Zip:

Sponsor's Phone:

Sponsor's Fax:

Sponsor's E-mail:

Have you been involved with BC/EFA before?
YES NO

If so, when and how?