Online Application Form
(Register Online)
Online Registration Form for students of Musicalta Academy

Application Form

* required field
Name: * Sex:
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 , Session 2
Course required
Teacher required
Option
Teacher required
Large string ensembleyes / noyes / no
Individual practice roomyes / noyes / no
Practice room for 2 pers.yes / noyes / no
Registration Listeners Cardyes / noyes / no
Full-board and accommodationyes / noyes / no
Meals (Non-boarder)yes / noyes / no
Cancellation insuranceyes / noyes / 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  
(+ check of € 60 for students who subscribed the cancellation insurance)


Means of payment:


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
 -  Agreement to fill out, sign, and send (by standard mail or email) to complete your registration. ]

Send with the registration form

  • two passeport-sized photographs
  • duly completed and signed agreement
  • a large self-addressed envelope
  • your payment: on your choice total amount or reservation fee of 390 € (session 1 or 2)