Application

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

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

The fields marked by * are obligatory.


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

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. *

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