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Pineda Conservatory of the Performing Arts
428 Jerusalem Road • Scotch Plains, NJ 07076 • (908) 731-1377 • pinedaconservatory@comcast.net
Pineda Lyric Opera Co.
Center Stage Audition Request Form
To request an audition for the Pineda Summer Conservatory Center Stage Program, fill out the form below and submit. You wll receive in email confirmation within 1 week of submission. If you do not receive a confirmation or would prefer to call for an appointment, contact Valerie at (908) 731-1377 or email pinedaconservatory@comcast.net.
Grade you are entering in Sept 2013
First Choice*
*We cannot guarantee your first choice. Due to time and space constraints, we must limit the amount of auditionees for each session on a first-come, first-served basis.
Second Choice
Choose an Audition Time
If you need to change your audition time, email pinedaconservatory@comcast.net directly or (908) 731-1377. Changes will be made solely at the discretion of PCPA staff.
Name
Age
High School Name
Email where confirmation should be sent
Parent/Guardian Name
Parent Phone
Parent Email
If you are auditioning for the program for the first time, how did you hear about us?
Print a copy of this form for you records before submitting.
