Application

for the 25^th Altensteig summer Music in the Upper Nagold valley

Accompanying parents are asked to fill in their names, too.

The fields marked by * are obligatory.

I transfered the booking fee (Euro 100,-) which is non refundable in case of cancellation. Should the course be over-booked, the booking fee will be refunded. I also accept that participation takes place at own risk. No liability can be accepted by the organisation. *
Surname *
First name *
	female male
Date of Birth (DD.MM.YYYY) *	. .
Tel. No. *
Fax
E-Mail *
Adress *
Postcode / town *
Country *
Name of accompanying parent
Instrument *
Teacher *
I want to study with
(It depends on the possibilities if the wish for a teacher can be fulfilled)
Prepared music *	1.:
	2.:
I wish *	normal meal vegetarian meal
Notes
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