48th Zenon Brzewski International Music Courses in Łańcut
– application form

    Family name:

    First Name:

    Date of birth (DD.MM.RRRR):





    State / Province / Region:

    City / Town:

    Zip / Postal Code:


    Phone number:

    I want to take part in course lessons during:
    Session One 1-13 July 2022 (Fee – 490 euros)Session Two 15-27 July 2022 (Fee – 490 euros)Session One and Two 1-27 July 2022 (Fee – 1900 euros)

    My choice of accommodation:
    SEZAM Hotel with full board (+ 500 euros for one session)room in a Łańcut resident’s without board (payment to the landlord – about 50 zlotys per night)I will make my own room and meals arrangements

    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 (included in the course fee):
    aural trainingchamber musicstring orchestra

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

    Phone number:

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