NYSSMA REGISTRATION - 2015

1st-8th grade students

*Deadline: Monday, March 2 , 2015 (Late forms will not be accepted)

Students Name:__________________________________
Grade in School:____
E-mail (please write clearly):_______________________________
Phone Number:______________________
Instrument/ Vocal Part:________________________
Composition:_____________________ Composer:________________
NYSSMA Level:_____

Manuel Page:_____

(If you do not know Mrs. Pilocane will fill in)

Check here if you are performing multiple solos:_____ .

Check here if you are a SUZUKI student and will not be doing sight-reading
___.
Parents Signature:________________________
Please Circle one below if you would to request a specific time/date.
The NYSSMA festival site tries to schedule you accordingly but it is
not guaranteed.
Friday: Evening / Night
Saturday: Morning / Afternoon / Evening
Location, Dates and Times:
Centereach High School
14 43rd Street
Centereach, NY
All-State, Regular Instrumental, Vocal and Piano:
Friday, May 15, 2015: 4:00pm - 9:00pm
Saturday, May 16, 2015: 9:00am 5:00pm
Please make out a check to the Laurel Hill School for the amount provided
based on Level.(Only accepting checks).
Levels 1-4 (except piano) $14.00
Levels 1-4 Piano $19.00

Levels 5, 6 (except piano) $21.00

Levels 5, 6 Piano $26.00