| First Name |
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| Name |
|
| Street / no. |
|
| Zipcode |
|
| City / Country |
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| Telephone |
|
| E-mail |
|
|
| Facts |
|
| Whats your date of birth |
day-month-year |
|
Boy / Girl |
| Special diet? |
|
| If possible, I'd like to share the room with |
|
| Wich instruments are you playing |
1.
2. |
| Not in the list: |
|
Chamber music applications only: |
| Name music teacher |
|
| Phone music teacher |
|
| I play or played in a orchestra |
yes /no |
| If yes, Name of the orchestra |
|
|
|
| Please send me the confirmation by |
Post E-mail |
|
| I hereby agree to the conditions as specified in the general information. |
|
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|
