Name Surname Sex ---MF
Place of birth Date of birth
Full address n. postal code
Phone number E-mail
Conservatoire, Music college
For members of pre-formed groups (€125 discount on application fee of each member)
name of group attending the course
For ex pupils (€50 discount on your application fee)
name of new student that is applying on your recommendation
For the second family member (€100 discount on your application fee)
name of the brother/sister attending the course
FOR UNDERAGE STUDENTS ONLY
I (name and surname) , undersigned parent or legal guardian, give permission for my child to take part in any public concert connected with the 22st International Chamber Music Course to be held at Pra Catinat, Fenestrelle (Italy), from July 25th to august 4th 2019. We are aware that these concerts are part of the Course's teaching programme and consequently neither fee nor travel expenses will be paid to our child.
I also consent to the participation in photographs and video for nonprofit purposes by the Ensemble Xenia Association.
Attach audio file
I WISH TO APPLY TO THE 22st XENIA CHAMBER MUSIC COURSE*
Write a message:
*Sending this form you authorize the use of all personal data provided as stated by Italian Law 196/03.