CENTER STAGE AUDITION REQUEST FORM
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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 48 hours.  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.
IMPORTANT POLICIES FOR
ALL PROGRAMS
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PAYMENTS can be made in full or in two (2) installments, the 1st due with your application and the 2nd due on/before May 1, 2011.

Cash, check, and CC accepted.  Please note CC payments are subject to an addition $25 processing fee. 

REFUNDS will be made (less a $25 administrative fee) if requested by June 1, 2011.  For refund requests made after June 1st, 25% will be retained as an operational cost. 

No refunds will be granted AFTER June 15, 2011.

REFER a friend and receive $50 off your tuition upon your friend's acceptance and registration in the program.

NOTE: only 1 referral discount permitted per student.  The new student MUST note referral on their registration form.

SCHOLARSHIPS are available based on merit and/or financial need.  For financial assistance, please submit (1) a letter of recommendation from a teacher and (2) a formal request letter detailing your circumstances.  Both letters must accompany your Registration Form in order for consideration.





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For more information, contact Val at (908) 731-1377 or email pinedaconservatory@comcast.net
Pineda Conservatory of the Performing Arts 
428 Jerusalem Road   •   Scotch Plains, NJ 07076   •    (908) 731-1377   •   pinedaconservatory@comcast.net
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SUMMER CONSERVATORY
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Grade you are entering in Sept 2012
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.  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?
March 10, 1-3PM
March 10, 3-5PM
March 17, 1-3PM
March 17, 3-5PM
March 18, 6-8PM
March 10, 1-3PM
March 10, 3-5PM
March 17, 1-3PM
March 17, 3-5PM
March 18, 6-8PM