MusicA Braine l'Alleud 2022
Strings & Orchestra: April 4-8
Piano: April 11-15

• Name: ____________________________________________
  
  
• Given name: _______________________________________
  
  
• O ID picture by post mail or jpg file only
  
  
• O Biography
  
  
  
• O Active participant
• O Observer
  
  
  
• O Piano
• O 2 Pianos / 4 hands
  
  
• O Chamber Music
  
  
• O Violin      O
  
  
• O Viola      O
  
  
• O 'Cello      O
  
  
• O Orchestra only      O
  
  
• O Second discipline      O
  
  
  
• O Option: Workshop (only during the piano session)      O
  
  Yes, I need a pianist-je demande un pianiste (30 €)
  (piano scores, if pianist is requested, as pdf file with the application - at the course: hard copies, assembled, ready for use by the pianist!)
  
  

PERSONAL DATAS:


• Sex:_____________________________________
  
  
• Place and Date of Birth: _____________________________________
  
  
• Nationality: _____________________________________
  
  
• Address: _____________________________________
  
  _____________________________________
  
  _____________________________________
  
  
• Phone: _____________________________________
  
  
• e-mail: _____________________________________
  
  
• Diplomas - Level:_____________________________________
  
  _____________________________________
  
  _____________________________________
  
  
• Current studies: _____________________________________
  
  
• Current teacher: _____________________________________
  
  
• Former teachers: _____________________________________
  
  _____________________________________
  
  
• Proposed works
  
  1) _____________________________________
  
  2) _____________________________________
  
  3) _____________________________________
  
  4) _____________________________________
  
  
• O Student/inhabitant of Braine l'Alleud-Académie de Musique or ICPA
  (proof must accompany this application)

• Accommodation
  
  During the course my address will be: _____________________________________
  
  _____________________________________
  
  My Phone during the course: _____________________________________
  
  I would like to apply for the housing: YES - NO
  • The housing, upon request, is based on the order of registration, and in respect of the Covid sanitary rules.
    It's in a shared room and doesn't include any meals.
    Ask for availability before applying.
  • The cost has to be paid at the application, after confirmation of availibility by the board.
  
  
  
  Signature (by parents, if minor of age)
  
  _____________________________________

• Cancellation before March 20, 2022: refund 50% of the tuition
• Cancellation before March 25, 2022: refund 25% of the tuition
• No refunding if cancelling after March 25,2022 and beyond
• The application fee is not refundable.