Summer Intensive 2024
Registration and payment are due by Friday, May 31. Tuition payments are non-refundable, except in case of documented illness or injury that would interfere with your participation in the Intensive. For applicants who will be under 18 on Monday, June 17, 2024, we must speak with a parent or guardian after you submit this form and prior to accepting tuition payments for your registration. For any questions or concerns, please contact intensives@parsonsdance.org.
Student's Full Name
*
First Name
Middle Name
Last Name
If there is a different first name or nickname you prefer, please list it here:
Example: "Mike" instead of "Michael", etc.
Choose Your School or Training Program
*
Please Select
My Program Is Not Listed
Accademia Nazionale di Danza
Adelphi University
AHRC Middle/High School
Ailey/Fordham Joint BFA Program
Alabama A&M University
Alabama State University
Albany State University
Alcorn State University
Alma College
Alma College Dance Department
Alonzo King's LINES Ballet/Dominican University of California
American Academy of Dramatic Arts
Amherst College
Antelope Valley College
Antioch University Santa Barbara
Appalachian State University Department of Theatre and Dance
Arizona State University
Atlas Foundation for Autism School
Baldwin-Wallace College
Ball State University
Barnard College, Columbia University
Bay Mills Community College
Belhaven College
Benedict College
Bethune-Cookman University
Binghamton University
Birch Family Services, Phyllis L. Susser School for Exceptional Children
Bishop State Community College
Blackfeet Community College
Boston Conservatory at Berklee
Boston University
Bowdoin College
Bowie State University
Brandeis University
Bridgewater State College
Brigham Young University
Butler University, Jordan College of the Arts
California Institute of the Arts
California State University College of the Arts
California State University Sacramento, Department of Theatre & Dance
Cal Poly San Luis Obispo
Campbellsville University
Cankdeska Cikana Community College
Case Western Reserve University
Central State University
Chapman University
Cheyney University of Pennsylvania
Chicago Academy for the Arts
Claflin University
Coahoma Community College
Coker College Department of Dance, Music and Theater
Colgate University
College of Menominee Nation
Colorado State University School of Music, Theatre and Dance
Columbia University in The City of New York
Connecticut College
Cornell University
Dean College
Delaware State University
Delta State University
Dickinson College Department of Theatre and Dance
Dillard University
Diné College
Drexel University
Drexel University ExCITe Center
Duke University (Non-Arts Students)
Duke University Dance Program
East Carolina University, School of Theatre and Dance
Eastern Connecticut State University
Edward Waters College
El Camino College
Elon University, North Carolina
English National Ballet School
Fayetteville State University
Florida International University
Florida Memorial University
Florida State University
Fordham University
Gallaudet University Department of Art, Communication, and Theatre
George Mason University
Georgetown University
George Washington University
Georgian Court University
Glendale Community College
Grambling State University
Gretchen Everhart School
Hampshire College
Hampton University
Harris-Stowe State University
Hartwick College
Harvard University
Haskell Indian Nations University
Hawthorne Country Day School
Hinds Community College
Hofstra University
Howard University
Humboldt State University
Hunter College
Huston-Tillotson University
Idyllwild Arts Academy
I?isa?vik College
Indiana University
Institute of American Indian Arts
Iowa State University
Jackson State University
Jacksonville University
James Madison University
Johns Hopkins University-Peabody Conservatory
Johnson C. Smith University
Kennesaw State University Department of Dance
Kentucky State Univeristy
Keweenaw Bay Ojibwa Community College
Lac Courte Oreilles Ojibwe College
Lane College
Leech Lake Tribal College
LeMoyne-Owen College
Liceo Classico Marco Polo
Lincoln University, Pennsylvania
Lincoln University of Missouri
Little Priest Tribal College
Livingstone College
Long Island University
Louisiana State University
Loyola Marymount University
Manhattan Star Academy-YAI
Mansfield University of Pennsylvania
Marlboro College
Marymount Manhattan College
Massachusetts Institute of Technology
McKendree University
Miami Dade Community College, Kendall Campus
Michigan State University
Middlebury College Department of Dance
Minnesota State University Mankato, Dept. of Dance
Mississippi Valley State University
Missouri State University, Department of Theatre and Dance
Molloy/CAP21 Musical Theatre Conservatory
Montclair State University
Montclair State University College of the Arts, Department of Theatre & Dance
Morris College
Mount Holyoke College
Mt. Holyoke College
Muhlenberg College
Nassau Community College
Navajo Technical University
Nebraska Indian Community College
Neighborhood Playhouse School Of The Theater
New Orleans Center for Creative Arts
New York Center for Autism Charter School: East Harlem
New York University
New York University Tisch School of the Arts
Nightingale Bamford School
North Carolina A&T State University
North Carolina Central University
North Central College Fine & Performing Arts
Northern School of Contemporary Dance
Northwestern State University of Louisiana, Department of Theatre and Dance
Northwestern University
Northwest Indian College
Oakwood University
Oglala Lakota College
Ohio State University
Ohlone College
Oklahoma City University
Osvaldo Conti (Liceo Coreutico)
Otterbein University
P373K - Brooklyn Transition Center at Gotham Academy
Pace University, Dyson College of Arts & Sciences
Pacific University
Paul Quinn College
Pennsylvania State University
Plymouth State Universitty Department of Music, Theatre, and Dance
Point Park University
Prairie View A&M University
Purdue University
QSAC School at Whitestone
Rebecca School
Rhode Island College
Richland College
Rock Bridge High School
Rust College
Rutgers University, Mason Gross School of the Arts
Salish Kootenai College
Sam Houston State University Department of Dance
San Carlos Apache College
Santa Clara University Department of Theatre and Dance
Sarah Lawrence College
Savannah State University
Scripps College
Shaw University
Shenandoah University
Sinte Gleska University
Sitting Bull College
Skidmore College
Slippery Rock University
South Carolina State University
Southeast Missouri State University
Southern Illinois University Edwardsville
Southern Methodist University
Southwestern Indian Polytechnic Institute
St. Augustine's University
St. Phillip's College
Stephens College Conservatory for the Performing Arts
Stony Brook University Department of Theatre Arts
SUNY Brockport
SUNY Buffalo
SUNY Fredonia
SUNY Purchase
Swarthmore College Dance Program
Temple University
Temple University, Esther Boyer College of Music and Dance
Tennessee State University
Texas A&M International University, Department of Fine and Performing Arts
Texas A&M University
Texas Christian University
Texas Southern University
Texas State University
Texas Tech University
Texas Woman's University Department of Dance
The Ailey School
The Catholic University of America
The HeartShare School
The Juilliard School
The Keswell School
The League School
The New School College of Performing Arts
The School of American Ballet
The School of the Hamburg Ballett
The Shield Institute
Tiegerman High School - Richmond Hill
Tiegerman School at Woodside
Tohono O'odham Community College
Tougaloo College
Towson University
Trinity College
Troy University Theatre & Dance Department
Tulane University Department of Theatre and Dance
Turtle Mountain Community College
Tuskegee University
Universidad de las Américas Puebla (UDLAP)
University of Akron
University of Alabama
University of Alaska Anchorage Department of Theatre and Dance
University of Arizona
University of Arkansas at Little Rock Department of Theatre and Dance
University of California, Berkeley
University of California, Irvine
University of California, Los Angeles
University of California-Santa Barbara Department of Theatre and Dance
University of Central Florida
University of Cincinnati-College Conservatory of Music
University of Colorado Boulder
University of Florida
University of Georgia
University of Hartford-The Hartt School
University of Houston-Clear Lake
University of Idaho Department of Movement Sciences
University of Illinois at Chicago
University of Illinois at Urbana-Champaign
University of Iowa
University of Kansas
University of Kentucky
University of Maryland
University of Massachusetts
University of Massachusetts-Amherst, Department of Music and Dance
University of Michigan
University of Minnesota
University of Missouri-Kansas City
University of Montana School of Theater & Dance
University of Nebraska-Lincoln
University of North Carolina-Greensboro, School of Music, Theater, and Dance
University of North Carolina-School of the Arts
University of North Texas
University of Oklahoma
University of Oregon
University of Pennsylvania
University of South Carolina
University of Southern California
University of Southern California, Glorya Kaufman School of Dance
University of South Florida School of Theatre and Dance
University of Tennessee, Knoxville
University of Texas at Arlington
University of Texas at Austin
University of the Arts
University of the Virgin Islands (St. Thomas Campus & Albert A. Sheen Campus, St. Croix)
University of Tsukuba
University of Utah
University of Virginia
University of Washington
University of Wisconsin-Eau Claire Music & Theatre Arts Department
University of Wisconsin-Madison
University of Wisconsin-Milwaukee
University of Wisconsin- Whitewater
University of Wyoming Department of Theatre & Dance
Virginia Commonwealth University Department of Dance and Choreography
Virginia Union University
Virginia University of Lynchburg
Voorhees University
Wagner College
Wayne State University, Maggie Allesee Department of Theatre and Dance
Webster University
Wesleyan University
Western Michigan University Department of Dance
Western Oregon University Department of Theatre and Dance
West Virginia State University
Wichita State University
Wilberforce University
Wiley College
Winston-Salem State University
Wright State University Department of Theatre, Dance, and Motion Pictures
Xavier University of Louisiana
Yale University
Yeshiva University
York University
Zurich University of the Arts
Please search the options above to locate your college, university, or professional training studio. If you have attended more than one, please select the MOST RECENT one you have finished or will finish. If your program is not listed, please choose "My Program Is Not Listed", then enter its name and we will add it to our registration system.
Please enter your unlisted training program below.
You do not need to add the name of a department or degree program, which you may enter below. For example, "University of Southern California" is better than than "University of Southern California Glorya Kaufman School of Dance".
Name of highest major, degree program, and/or department
Examples: "Modern Level 3" or "BFA Dance, Department of Theatre and Performing Arts"
Name of Student's School or Training Program (Old)
This could be a college, university, or other pre-professional training program. If you have attended more than one, please list the MOST RECENT one you have finished or will finish.
Graduation Date, or Anticipated Graduation Date, from this Program
*
-
Month
-
Day
Year
Date Picker Icon
How did your family hear about the Intensive?
*
Parsons Dance Website
Parsons Dance E-News
Social Media
Paper Flyer
Dance Media Publications
School
DanceNYC.org
Parsons Dancer
Other
If you selected "Parsons Dancer" or "Other", please name the dancer!
Example: "Zoey Anderson"
Student's Email Address
*
example@example.com
Student's Current Mailing Address (This will be used as the Billing Address for your registration)
*
Street Address (Including apartment or unit number)
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Current Mailing Address Source
Student's Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Participant is a Minor
Yes
No
Approved
Student's PERMANENT Mailing Address - Only if different from above
Street Address (Including apartment or unit number)
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student's Mobile Phone Number (including area code)
*
-
Country Code
-
Area Code
Phone Number
Student's Home Phone Number (if you have one)
-
Country Code
-
Area Code
Phone Number
For the student, how do you describe your RACIAL identity? (please check ALL that apply)
*
Asian/Asian-American/Pacific Islander
Black/African-American
First Nations, Indigenous, or Alaska Native
Southwest Asian, Middle Eastern, or North African
White/Caucasian
Other
Prefer Not to Say
How do you describe your ETHNIC identity? (please choose only one)
I am of Hispanic, Latinx, or Spanish Origin
I am NOT of Hispanic, Latinx, or Spanish Origin
Other
Prefer Not to Say
How do you describe your GENDER identity? (please choose only one)
*
Cisgender female
Cisgender male
Transgender Woman/Transfeminine
Transgender Man/Transmasculine
Nonbinary/Genderqueer/Gender-Nonconforming
Other
Prefer Not to Say
What pronouns do you use to express your gender identity? (please check ALL that apply)
*
She/Her/Hers
He/Him/His
They/Them/Theirs
Other
Do you identify as Disabled? (An individual with a disability is defined by the Americans with Disabilities Act as a person who has a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment.) Not all Disabilities need accommodations, but if you need an accommodation on the basis of Disability, please contact intensives@parsonsdance.org or 212.869.9275 before proceeding with your registration.
*
Disabled
Non-Disabled
Prefer Not to Say
Back
Next
Save
Participation by Minors in the Parsons Dance Summer Intensive
If the student will be under 18 when the Intensive begins, we must speak with a parent or guardian before admitting them to the program. Please fill out the additional fields below, and we will contact the guardian for further details after you submit the application.
Guardian's Full Name
*
First Name
Middle Name
Last Name
Guardian's Relationship to You
*
Please choose one
Aunt
Brother
Child
Child-In-Law
Cousin
Coworker
Daughter
Daughter-In-Law
Doctor
Employee
Employer
Family
Father
Father-In-Law
Friend
Grandchild
Granddaughter
Grandfather
Grandmother
Grandparent
Grandson
Husband
Mother
Mother-In-Law
Nephew
Niece
Parent
Parent-In-Law
Partner
Patient
Roommate
Sister
Son
Son-In-Law
Spouse
Stepbrother
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepparent
Stepsibling
Stepsister
Stepson
Student
Surviving Spouse
Teacher
Uncle
Widow
Widower
Wife
Other
Guardian's Email Address
*
example@example.com
Guardian's Mobile Phone Number
*
Please enter a valid phone number.
Guardian's Home Phone Number (if they have one)
Please enter a valid phone number.
Guardian's Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Please attach the student's current performance resume in document or PDF format (with their full name in the filename).
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Payment Information
prev
next
( X )
Full Summer Intensive: June 17-28
Includes two works of Parsons repertory, mock audition, photo shoot, and Friends & Family studio showing on Friday, June 28
$
1,650.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
What type of Credit Card is this?
*
Please Select
Visa
MasterCard
American Express
Discover
Emergency Contact
The following questions are in reference to the student's Emergency Contact. You must name a person familiar enough with their medical history and needs to provide guidance to Parsons Dance, in case of a medical emergency in which they cannot speak for themselves.
Emergency Contact's Name
*
First Name
Middle Name
Last Name
Emergency Contact's Relationship to Student
*
Please choose one
Aunt
Brother
Child
Child-In-Law
Cousin
Coworker
Daughter
Daughter-In-Law
Doctor
Employee
Employer
Family
Father
Father-In-Law
Friend
Grandchild
Granddaughter
Grandfather
Grandmother
Grandparent
Grandson
Husband
Mother
Mother-In-Law
Nephew
Niece
Parent
Parent-In-Law
Partner
Patient
Roommate
Sister
Son
Son-In-Law
Spouse
Stepbrother
Stepchild
Stepdaughter
Stepfather
Stepmother
Stepparent
Stepsibling
Stepsister
Stepson
Student
Surviving Spouse
Teacher
Uncle
Widow
Widower
Wife
Other
Emergency Contact's Mailing Address
*
Street Address (Including apartment or unit number)
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Emergency Contact's Email Address
*
example@example.com
Emergency Contact's Cell Phone
*
Please enter a valid phone number.
Emergency Contact's Home Phone (if they have one)
Please enter a valid phone number.
Medical Information for the Student
Parsons Dance is committed to equitable treatment of our students. We also acknowledge that our teaching environment regularly places our students far from their preferred care providers, and sometimes outside common business hours. For this reason, we do require disclosure of pertinent medical or dietary health details, and we encourage two practices to minimize overexposure of this sensitive information: 1. Make sure your complete health record, including injury/surgery history, food or drug allergies, and any medications you must take to sustain your health, are up-to-date with your Primary Care Provider AND with your Emergency Contact above. We will always make a first effort to seek the counsel of your Emergency Contact when arranging emergency medical care on your behalf (e.g., if you are unconscious or otherwise unable to communicate for yourself). 2. Because we cannot guarantee timely access to your Emergency Contact, we must be aware of any medical details that would be necessary for other health practitioners to know before treating you. By law, Parsons Dance must store these in a separate location from the data listed on this form, and may only access them when required to assist your medical care.
How to keep your medical information current
After reading the above, please enter below any DIETARY, MEDICAL, OR ALLERGY DETAILS that a medical professional would need to know about you before treatment, including ANY PREVIOUS INJURY OR SURGERY that may be aggravated by your work with the Company.
Allergies to medications, foods, or other substances, and whether you rely on a rescue medication (e.g., an Epipen or inhaler) in case of exposure:
Enter only those which involve serious medical reactions that an emergency care provider would need to know about. Tip: if you wear a medical bracelet and/or use an Emergency Medical ID on your smartphone, those details should be included here.
0/255
Injury & Surgical History:
You need only include those conditions or procedures which may be aggravated by your work with the Company or would need to be shared with an emergency care provider.
0/255
Primary Care Provider (optional)*
*We do not require disclosure of a Primary Care Provider in order to attend the Summer Intensive. However, if you do not disclose a Primary Care Provider, we must treat 911 (or local emergency services equivalent) as your preferred first responder if we cannot reach your Emergency Contact during a medical emergency.
Current Primary Care Provider (PCP) Name (Example: "Jason Kindt")
First Name
Last Name
Provider's Medical Facility Name (Hospital or Practice Name, etc.)
Example: "Mount Sinai Manhattan West"
Facility Street Address
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Facility Phone Number
Please enter a valid phone number.
PHOTO/VIDEO RELEASE: I hereby give permission for images of myself (or the student), captured during the Parsons Dance Summer Intensive through video, photo and digital camera, to be used solely for the purposes of Parsons Dance promotional material and publications, and waive any rights of compensation or ownership thereto.
*
Yes
I hereby release Parsons Dance Foundation, Inc, staff, audition sites, and members of each of the foregoing entities (the “Released Parties”) from any and all liability or claims arising out of or in any way resulting from my (or my student’s) participation in the Summer Intensive, therefore, any injury, illness, damage, harm, stress (mental or physical), or disability (partial or total) suffered by me (or my student) in connection with my (or my student’s) participation in the Summer Intensive, and I agree not to make any claim against the Released Parties as a result of my (or my student’s) participation in the Summer Intensive. I understand that my (or my student’s) participation in the Summer Intensive shall be taken at my sole risk and expense. By signing below I confirm that I have read and accepted the conditions to my (or my student’s) participation in the Summer Intensive as set forth above. I understand that I am giving up substantial rights including the right to sue.
*
Yes
Back
Next
Save
Record Creation Channel (Hide Me)
Jotform
SF Campaign (Hide Me)
SF Opp Record Type ID (Hide Me)
SF Product Name (Hide Me)
Total Charge (Hide Me)
CM Status (Hide Me)
Registered
Requested Info
CM Status Old (Hide Me)
RT (Hide Me)
SF Opp Stage (Hide Me)
Closed Won
Delete-Jotform Duplicate
SF Opp Stage OLD (Hide Me)
We're almost done! Please click "SUBMIT" to confirm your registration.
Save
SUBMIT
Should be Empty: