Registration online

Last Name *

First Name *

Date of birth (DD/MM/YYYY) *

Phone number (with phone suffix) * *

Mail *

Adress

Postal code

City

Country

Current level

Current place/institution of music study

When do you want to come ? (please chose one answer only) *

ꀐ ꀉ

From July 19th to July 26th

ꀐ ꀉ

From July 26th to August 2nd

ꀐ ꀉ

From July 19th to August 2nd

必填字段

First course chosen *

ꄳ

Name of the teacher *

Second course chosen

ꄳ

Name of the teacher

Housing choice *

ꀐ ꀉ

Studio

ꀐ ꀉ

Single room

ꀐ ꀉ

Double room

ꀐ ꀉ

Three-room apartment

ꀐ ꀉ

Other (let us know at the end of this application)

必填字段

Would you like to share your housing facility with someone else ? *

ꀐ ꀉ

Yes

ꀐ ꀉ

No

必填字段

If it is so, with how many people would you like to share ?

Would you like to share specific informations to us ? *

Online Application Opus 74 Flaine