Office of Cultural Education

Cultural Education

New York State Archives, Library, Museum and Public Broadcasting

NYSSSA

New York State Summer School of the Arts

Experience it Yourself

School of Dance Student Application Form

Capital Region Western Region New York City Syracuse
Student Information
Age:
Date of Birth: (mm/dd/yyyy)
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Student's E-mail:
Parent/Guardian's Information
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Check this box if Student Address and Parent Address are the same.
I, the parent/guardian of the above named student, consent to the release of the information on this application to NYSSSA. I authorize NYSSSA to use my student's name in association with any news releases, and permit the use of any photographs, digital images or videos taken during the audition for publicity or documentation purposes.
School Information
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How did you hear about NYSSSA?
Yes No

Please include a snapshot of yourself, no larger
than 4" x 6", clear enough for facial
identification, with this application.

Please include student's name in body of the email: Submit your photos by e-mail

Photos may be mailed to NYSSSA at: Cultural Education Center, Room 10D79, Albany, NY 12230. Photos must arrive in Albany one week prior to the Audition Date.