Zenon Brzewski International Music Courses in Lancut

Application

50th Zenon Brzewski International Music Courses in Łańcut
– application form

    Family name:

    First Name:

    Date of birth (DD.MM.RRRR):

    Citizenship:

    Sex:MaleFemale
    Address:
    Address:
    Country:
    State / Province / Region:
    City / Town:
    Zip / Postal Code:

    e-mail:

    Phone number:

    I want to take part in course lessons during:
    Session One 1-13 July 2024Session Two 15-27 July 2024Session One and Two 1-27 July 2024

    I come as:

    My choice of accommodation:
    accommodation with full board (+ 700 euros for one session)room in a Łańcut resident’s without board (payment to the landlord – about 80 zlotys per night)I will make my own room and meals arrangements

    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 (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.