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FALL 2017 - ONLINE REGISTRATION 
Please use this form to register for Fall 2017 Private Voice Lessons and Musical Theatre Classes. You may register for both class and lessons on the same form. Check all boxes in Section II that apply.
Student Name
Birth Date
Age as 
of 1/1/17
Grade in 
Spring 2017
Student's Home Address
Street
City
State
Zip
PAYMENTS POLICIES 
(please read and complete certification statement)

• Credit and debit cards are accepted online. You will be directed to our online payment center once you have completed and submitted the above online registration form.

• The 2017 Fall Semester runs September through December. For weekly private voice lessons, monthly rates are determined by dividing the number of lessons in the semester and splitting the total cost into 4 equal monthly payments due Sep 1, Nov 1, Oct 1, and Dec 1. 

• If you require an alternate payment method, please email thepinedaconservatory@gmail.com or call the conservatory at (908) 731-1377.

• YOUR CHILD IS NOT REGISTERED UNTIL WE RECEIVE A TUITION PAYMENT (for Musical Theatre Classes) or $55 REGISTRATION FEE (for Voice Lessons).
Student's Email
Parent/Guardian Name(s)
Mother's Cell:
Father's Cell:
Parent/Guardian Email
Home Phone:
I.  Student Information
II.  Payment Information
REFUND POLICIES 
(please read and complete certification statement)

• For theatre classes, full refund (less a $25 administrative fee) will be made if registration is canceled by the first day of class.

​• For voice lessons, refund will be pro-rated based on the number of lessons completed upon at the time of cancellation. NO REFUNDS will be issued if canceled after the 15th of the month. Please email thepinedaconservatory@gmail.com 
(subject "REFUNDS" for any further questions or clarification of our refund policy.
PLEASE PRINT A COPY OF THIS PAGE FOR YOUR RECORDS BEFORE YOU SUBMIT.  
Once you submit, you will be automatically directed to our payment page where you may pay using debit/credit card.
Registration fee: $55 per semester / per student / non-refundable - due upon enrollment
30 min
$150
$150
$150
$150
$150
NA
45 min
$195
$195
$195
$195
$195
​NA
1 hour
$260
$260
$260
$260
$260
NA
Lesson Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Rates (PER MONTH) due the first day of the month:
Enter initials here:
By initialing here, you certify that you have read and understand the Pineda Summer Conservatory payment & refund policies.
1st Lesson
Sep 11
Sep 12
Sep 13
Sep 14
Sep 15
NA 
Last Lesson
Dec 18
Dec 19
Dec 20
Dec 14
Dec 15
NA
See rate chart below
Preferred lesson days & time frame:
For PRIVATE VOICE LESSONS, would you like to receive a Paypal bill (NO EXTRA FEE) each month so that you can pay via credit or debit card?
III.  Payment Options and Policies
Lesson length:
Pineda Conservatory of the Performing Arts a 501(c)(3) non-profit arts organization
PCPA @ FUMC, 1171 Terrill Road, Scotch Plains NJ   •   (908) 731-1377   •   thepinedaconservatory@gmail.com
Grades 1-3 | Saturdays | 9AM-10AM

Grades 4-7 | Saturdays | 10AM-11:30AM
$280

$280
Check box for appropriate class and/or voice lessons. You may register for both voice lessons and classes on the same form.
MaleFemale
PRIVATE WEEKLY VOICE LESSONS
SUNSHINE MUSICAL THEATRE CLASS
STARLIGHT MUSICAL THEATRE CLASS