Nyack.edu | Visit Registration Form (Nyack Campus)

Visit Registration Form (Nyack Campus)


When do you plan on visiting?
2010
October 10-11 (Weekend) November 8
2011
February 20-21 (Weekend) March 21 April 21
Or choose a date for a personalized visit:
(Format: m/d/y)

First Name:
Middle Initial:
Last Name:
Street Address:
City:
State:
Zip:
Country:
Phone:
Email:
Gender:	Male Female

Name of High School:
Year of HS Graduation:

Major/Interest:

# 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 an audition 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: