Nyack Visit Registration [TEST FORM]

When do you plan on visiting?
Summer 2015
Fall 2015
Spring 2016

*Prospective student must be 16 years or older to stay over in the dorms and there is a $25 Registration Fee to attend.
Or choose a date for a personalized visit:
(Format: m/d/y)
First Name:
Middle Initial:
Last Name:
Street Address:
Parent/Guardian Name:
Parent/Guardian Email:
2nd Parent/Guardian Name:
2nd Parent/Guardian Email:
Name of High School:
Date of HS Graduation:
How did you hear about this Visit Day?
How did you originally hear about Nyack College?
When do you plan to begin study?
# of Visitors:
Please list their names and relation to you:
Check all that apply:
   I would like to meet with a coach (seniors only)
Indicate which sport you are interested in:

   I would like to set up a meeting with the Music Dept.
   I will need housing (Visit Weekend only)
   I have pre-arranged housing
Name of student on campus:
Cell phone # of student on campus: