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STUDENT’S FIRST NAME

STUDENT’S LAST NAME

 Male Female

CURRENT AGE

CURRENT GRADE LEVEL

PROGRAM

 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?
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“Special Notes/Additional Information

HOW DID YOU HEAR ABOUT US?

OTHER

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Pre-Professional Intensive (Grades 11-College)
June 14-July 29, 2013
Residential $4995/Day $1995

Young Artist Intensive (Grades 8-11)
July 8-August 3, 2013
Residential $3995/Day $1500

Junior Camp(Grades 5-7)
June 21-July 6, 2013
Residential $2700/Day $995

Equestrian Camp(Ages 10-15)
Dates TBD
Day $500

Discovery Camp(Ages 8-10)
Dates TBD
Day $500

QUESTIONS? CALL US AT (800) 430-2787 To register, please fill in all of the information and click the submit button at the bottom of the page. A Perry-Mansfield representative will contact you to confirm receipt of your application and payment information.

“In my wildest dreams I could never have imagined coming to a place as magical as Perry-Mansfield.”

— Pre-Professional Student