The Philadelphia International Music Festival Summer Camp Music House Registration Form

PIMF College & Young Professionals Registration Form: June 13 - June 29, 2012

Last Name:
First Name:
Age as of 6/17/2012:
Date of Birth:	(MM/DD/YYYY)
Gender:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Country:
Home Phone:
Cell Phone:
E-mail Address:
College (if applicable):
Current School Year (if applicable):
Current Campus or Professional orchestra:
What is your primary Instrument:
What is your secondary Instrument:
Orchestra Conductor(s) Name:
Orchestra Conductor(s) Phone:
List current solo repertoire:
List most current awards and/or musical honors:

A. Tuition: $3,000.00 - Tuition includes four private lessons with a member of The Philadelphia Orchestra, (with an option to purchase additional lessons), four-six hours daily private practice, master classes with members of The Philadelphia Orchestra, solo performance opportunities, pre-concert performance at Philadelphia Orchestra concert(s), two concerto competitions, orchestral auditions preparation, attendance at Philadelphia Orchestra concerts, housing, meals, and all other festival-related costs. Students may purchase up to two additional lessons. A form will be included in your confirmation packet thru which additional lessons may be purchased This fee does NOT include transportation to and/or from the festival. Need-based partial and half scholarships ARE available. Please note in the "Comments" section below the amount of financial aid you would like to request, or phone the office for additional information.	Subtotal
Credit Card and Payment Information Note: All registration require a $200 non-refundable deposit. Registrations without deposit information will not be processed. Balances not on a payment plan are due in full by 06/01/2012. CANCELLATIONS - All deposits are non-refundable and non-transferable. If a cancellation is made prior to May 1, 2012, full payment (less a $200 deposit) will be refunded or may be applied toward another camp session should there be space available. No refunds or credits will be issued after May 1, 2012, except in the case of a medical emergency. No refunds are issued for any late arrivals or early departures from any one week or two week camp session. Card Type: Credit Card Number: Exp. Date (MM/YYYY): Mo. Year Would you like to pay the amount due in full now? Yes No
Three, six or nine month no interest monthly payment plans: Your balance after the required deposit will be divided by the length of the plan that you choose. Your credit card will be charged monthly on the day that you choose below until the balance is paid. Your payment plan will begin on the payment date nearest your registration date. You will receive a statement via email showing your current balance each month. Are you interested in setting up a monthly payment plan? Yes No Please Choose a Payment Plan Length Please Choose a Payment Plan Date
Additional Information How did you hear about the Philadelphia International Music Festival? Have you attended in previous years? Yes No Performers must send to our office at: 2954 East Grant Avenue, Williamstown, New Jersey, 08094, a five-ten minute CD, DVD, online video, or MP3 of current solo repertoire. Online recordings must be emailed to: auditions@pimf.org. Performances may be accompanied or unaccompanied. Please note that there is no required repertoire for audition CD'S. Musicians should perform their most current, well-prepared piece(s). Please note that recommend (but do not require) that audition CD include two contrasting pieces. Philadelphia International Music Festival Attn: Music House 2954 East Grant Avenue Williamstown, New Jersey 08094 Comments, Questions, or Special Requests: Please expect a detailed confirmation packet in pdf format to arrive as an attachment in your email in April 2012