45. Zenon Brzewski International Music Courses in Łańcut
– application form

Before completing, the form please get acquinted with all the information on the www.kursymuzyczne.pl. Application can be sent in from 1st. March 2019.

44. Zenon Brzewski International Music Courses in Łańcut
– application form

Before completing, please familiarize yourself with all informations on the www.kursymuzyczne.pl. Application can be sent in from 1st. March 2018.

Family name:


First Name:


Date of birth:


Sex:
MaleFemale

Address:

Address:


Country:


State / Province / Region:


City / Town:


Zip / Postal Code:

e-mail:


Phone number:

I choose:
Session One 1-13 July 2019Session Two 15-27 July 2019Session One and Two 1-27 July 2019

I come as:

Instrument:

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 www.kursymuzyczne.pl 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)

INFORMATION CLAUSE

This is to inform you that:

1. The Administrator of your personal data is the Zenon Brzewski International Music Courses in Łańcut Association, based in Łańcut, 19, 3 Maja Street, 37-100, hereafter

called the Administrator.

Your data processing operations conducted by the Administrator are as follows:

  • first name and surname,
  • date of birth,
  • home address,
  • e-mail,
  • telephone number,
  • bank account number,
  • first name and surname of parent or guardian.

2. Your personal data shall be processed with a view to the present and future enrolment for participation in the International Music Courses in Łańcut and it shall not be made accessible to any other recipients.

3. The legal basis for your data processing is art.6, act 1, let. A of the general directive for personal data protection of 27 April 2016.

4. You are entitled to:

  • request from the Administrator access to your personal data in order to correct it, delete it or restrict its processing,
  • raise an objection to this mode of processing,
  • transmit the data,
  • file a complaint with a supervisory body,
  • withhold consent to processing your data.

5. Your personal data shall not be used for decisions in automatic profiling.

6. You have a right to file a complaint with the Personal Data Protection Office if you find the processing of your data to be in breach of the regulations stipulated by the general directive for personal data protection of 27 April 2016.

7. Your personal data shall be stored over the term of five years.

INFORMATION CLAUSE

This is to inform you that:

1. The Administrator of your personal data is the Zenon Brzewski International Music Courses in Łańcut Association, based in Łańcut, 19, 3 Maja Street, 37-100, hereafter

called the Administrator.

Your data processing operations conducted by the Administrator are as follows:

  • first name and surname,
  • date of birth,
  • home address,
  • e-mail,
  • telephone number,
  • bank account number,
  • first name and surname of parent or guardian.

2. Your personal data shall be processed with a view to the present and future enrolment for participation in the International Music Courses in Łańcut and it shall not be made accessible to any other recipients.

3. The legal basis for your data processing is art.6, act 1, let. A of the general directive for personal data protection of 27 April 2016.

4. You are entitled to:

  • request from the Administrator access to your personal data in order to correct it, delete it or restrict its processing,
  • raise an objection to this mode of processing,
  • transmit the data,
  • file a complaint with a supervisory body,
  • withhold consent to processing your data.

5. Your personal data shall not be used for decisions in automatic profiling.

6. You have a right to file a complaint with the Personal Data Protection Office if you find the processing of your data to be in breach of the regulations stipulated by the general directive for personal data protection of 27 April 2016.

7. Your personal data shall be stored over the term of five years.