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 , Session 2 No Registrationsession 1: 20/07 > 30/07 No Registrationsession 2: 31/07 > 10/08 Course required Teacher required Option Teacher required Large 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   (+ check of € 60 for students who subscribed the cancellation insurance) Means of payment: CheckBank TransferCredit card online 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)