When words leave off, music begins
H. Heine
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MusicA Braine l'Alleud 2022
Strings & Orchestra: April 4-8 Piano: April 11-15
Application Form
(BLOCK LETTERS or PRINTER please)
Application Deadline: March, 20, 2022
download printable application form
to be sent to:
Mrs. Hilde Delle-Vigne
e-mail: foundationbellarte@gmail.com
or by REGULAR PRIORITY Post service (NO REGISTERED MAIL PLEASE!):
Fondation Bell'Arte
39bis, chaussée d'Alsemberg
1420 Braine l'Alleud-Belgique
- 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:_____________________________________
_____________________________________
_____________________________________
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Current studies: _____________________________________
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Current teacher:
_____________________________________
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Former teachers:
_____________________________________
_____________________________________
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Proposed works
1) _____________________________________
2) _____________________________________
3) _____________________________________
4) _____________________________________
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O Student/inhabitant of Braine l'Alleud-Académie de Musique or ICPA
(proof must accompany this application)
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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)
_____________________________________
Payment Details:
Application fee: 80 Euros
Tuition: _______________ Euros
Accompanist: __(30 €)___ Euros
Option Workshop: _______________ Euros
Housing: _______________ Euros
in case of
extra-european bank transfer: + 10,00 Euros
total amount: __________________Euros
Refund Policy:
Application Deadline: March 20, 2022
- 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.
The information on the web site is the only valid reference
Concerts or (master)classes may be recorded and videotaped by the organizing committee for subsequent broadcast, video and audio recording use.
The applicants hereby grant the organizers the right to make use of their names, photography, voice and biographical materials as well as audio, video and DVD recordings on TV, radio and Internet for promotional use.
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More about....
Kindly supported by
The town of Braine l'Alleud
& Cultural Department
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