Application Form

* required field
Name:	*	Sex:	MaleFemale
First Name:	*
Address:	*
Zip Code:	*
City:	*
Country:	*
Phone:		Fax:
Mobile:	*	email:	*
Date of Birth :	*	Nationality:
Instrument played:
Music school attented:
Teacher:
Instrumental proficiency:
Tessitura (for singers):
Classes Session 1 or A Session 2 or B No Registrationsession 1: 21/07 > 31/07session A: 26/07 > 31/07 No Registrationsession 2: 01/08 > 11/08session B: 01/08 > 06/08 Course required Teacher required Option Teacher required Big string ensemble yes / no yes / no Individual practice room yes / no yes / no Practice room for 2 pers. yes / no yes / no Registration Listeners Card yes / no yes / no Full-board and accommodation yes / no yes / no Meals (Non-boarder) yes / no yes / no Cancellation insurance yes / no yes / no
Payment No application will be considered before we have received your payment. The payment corresponds to: Whole Amount Registration fee: 390 € session   1   or   2 /   195 €   session   A   or   B   Means of payment: CheckBank TransferAsk for an online Payment (CB, Visa, MasterCard, Paypal) Do not forget to mention name of the student and chosen course for bank transfer as well as the following mention "no extra bank charge for the recipient".
Attestation Send a complete registration, do not forget to send the certificate with your application [  -  Attestation to fill out, sign, and send (by standard mail or email) to complete your registration. ]
Send with the registration form two identity photographs certificate filled out and signed a self-addressed envelope your payment: on your choice total amount or reservation fee of 390 € (session 1 or 2) / 195 € (session)