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STUDENT’S FIRST NAME

STUDENT’S LAST NAME

 Male Female

CURRENT AGE

CURRENT GRADE LEVEL

PROGRAM
Pre-Professional IntensiveYoung Artist Intensive - wait list onlyJunior - all day is fullEquestrian Week 1 June 17-21Equestrian Week 2 August 5-9Discovery

 Day Student Residential

PLEASE INDICATE YOUR CONCENTRATION AREA:
 Dance Theatre

PARENT/GUARDIAN’S FIRST NAME

PARENT/GUARDIAN’S LAST NAME

Street Address (required)

City (required)

STATE/PROVINCE (required)

ZIP/POSTAL CODE (required)

COUNTRY (required)

PRIMARY EMAIL ADDRESS (parent or guardian)

SECONDARY EMAIL ADDRESS (student or alternative guardian)

CONTACT PHONE (required)

HOW DO YOU PLAN TO AUDITION? (required) All YAI and PPI students are required to audition. Please visit the VIDEO AUDITIONS page if you are unable to attend a live audition.
 Live Audition Video Audition

LIVE AUDITION LOCATION & DATE, IF APPLICABLE

VIDEO AUDITION LINK , IF APPLICABLE (If you plan to do a video audition, but you have not completed it yet, please note that here and complete it following the instructions on the VIDEO AUDITIONS page.)

Are you interested in applying for scholarship?
 Yes No

“Special Notes/Additional Information

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