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117 E. Main Street | Marion, Virginia | 276.783.6092

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The Lincoln Theatre

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Song of the Mountains
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Monday/Tuesday Permission Slip

Wednesday - Friday Permission Slip

Registration for
Summer Creatives
Youth Theatre Workshop
July 8 & 9 | 1st - 5th Graders
July 10 - 12 | 6th - 12th Graders

Child's First Name

Child's Last Name

Child's Age

Child's Grade

Parent's First Name

Parent's Last Name

Parent's Email

Phone

Home Address

Thanks for registering.

117 E. Main Street
Marion, Virginia 24354
276.783.6092
director@thelincoln.org

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