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Registration for Computer Animation
Long Island Media Arts Show



Wednesday March 17, 2010

In collaboration with NYS Summer School for the Arts

Teacher(s) of High School students who wish to exhibit their work must complete this registration.
PHOTOGRAPHY
(Two students will share a 3' X 6' space to hang their works)

Any fields noted with a are required. All data collected in this form will be handled according to the guidelines set forth in our privacy policy.

**PLEASE CHECK BOX FOR THE NYS SUMMER SCHOOL OF THE MEDIA ARTS IF STUDENT WANTS TO BE CONSIDERED.

STUDENT NAME(S):

Last
First
Grade
Last
First
Grade
Last
First
Grade
Last
First
Grade
Last
First
Grade

   
District    
 
School School Phone  
School Address
Town
State
Zip
 
Teacher
Email
 

Complete this Registration By March 2, 2010

Eastern Suffolk BOCES, Arts-In-Education
350 Martha Avenue, Bellport, NY 11713
(631) 286-6989 (phone) (631) 286-6991 (fax)
For NYS Summer School for Media Arts Registration: www.emsc.nysed.gov/nysssa/


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