PLAYWIP - Quartet Martinu

viola

Message Box

Application Form

general information

martinů guartet

applicaton form

registration

Last Name
First Name
Street
Postcode		Location
Phone		E-mail
Instrument

Please tick the appropriate:

I am	Amateur	Music teacher
	Music Student in Year	Professional musician
and wish to participate in .

My registration will be transferred to another Workshop in case Workshop which I wish does not provide vacancies anymore.

Yes Not

Required accommodation (please tick):

	Without accommodation
Dormitory:	single	twin
Pension/Hotel:	single	twin

I consider myself able to play the following chamber music pieces:

I am prepared to play the following pieces:

I am planning to play with (name of further participants who
will register as well):

I have not made arrangements for an ensemble yet.

Message:

Lubomír Havlák, Pod vlastním krovem 27, 182 00 Praha 8, Czech republic, e-mail: lubomir.havlak

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