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When words leave off, music begins
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MusicA Braine l'Alleud 2023
XXIII° Edition
Piano & Chamber music: May, 1-5
Application Form
(CAPITAL LETTERS or PRINTER please)
Application Deadline: APRIL 10, 2023
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 Short Biography
- O Active participant
- O Observer
- O Piano
- O Chamber Music
- O Second discipline
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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)
_____________________________________ - The housing, upon request, is based on the order of registration, and in respect of the Covid sanitary rules.
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Payment Details:
Application fee: 80 Euros
Tuition: _______________ Euros
Housing: _______________ Euros
in case of extra-european bank transfer: + 10,00 Euros
total amount: __________________Euros
Refund Policy:
Application Deadline: APRIL 10, 2023
- Cancellation before April 15, 2023: refund 50% of the tuition
- Cancellation before April 20, 2023: refund 25% of the tuition
- No refunding if cancelling on April 20, 2023 and beyond
- The application fee is not refundable.
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.
In case they refuse this authorization, they must inform the organization by written means before the beginning of the course.
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