46th Zenon Brzewski International Music Courses in Łańcut
– application form

Before completing the form please get acquainted with all the information on the Applications can be sent in from 1st. March 2020 to 20th June 2020.

Family name:

First Name:

Date of birth:





State / Province / Region:

City / Town:

Zip / Postal Code:


Phone number:

I choose:
Session One 1-13 July 2020Session Two 15-27 July 2020Session One and Two 1-27 July 2020

I come as:


I wish to study with prof.:

Music training so far (say how long you have studied and where):

Specify two or three pieces you want to study with your course tutor:

I also wish to do:
aural trainingchamber musicstring orchestra

Surname and name of the parent or legal guardian (when an applicant is underage):

My choice of accommodation:
SEZAM Hotel with full boardroom in a Łańcut resident’s homeI will make my own room and meals arrangements

Please note that course members and their guardians should arrange their own health and accident insurance.

I declare that I have read the information on the website and accept the terms stated.

I declare that my guardian and I have taken out health and accident insurance.

I agree to the storage and processing of my personal data contained in the application for the needs of recruitment and documentation of the course (Personal Data Protection Act of 20.08.1997)