REGISTRATION FORM


 

Please fill the form and send to: info@almamusica433.it or casa.cozzi@fbsr.it

 

( please fill the form in a )

 

Name                                                                                                                      

 

Family Name                                                                                                          

 

Date of birth                                                           

 

Country                                                                  

 

Address                                                                 

 

Postcode                                                               

 

Mobile Telephone                                                 

 

E-mail                                                                    

 


 

COURSES

 

(put a X in the course in which you want to participate or to be an auditory partecipant)

 

 

Date                              Teacher                        Course                                        Participant    Auditory participant

 

23-24 January 2016      Paola Erdas                 Harpsicord                                          □                          □

 

 

20-21 Frebruary 2016    Xavier Díaz-Latorre    Lute                                                    □                          □

 

 

10 April 2016                 Paolo Da Col               Early ensemble singing practice        □                           □

 

 

16-17 April 2016            Lia Serafini                  Baroque singing                                 □                          □


 

* Registration form for a member of instrumental ensemble:

Musical instrument Ensemble Member Ensemble Director

**Registration form for a member of vocal ensemble:

Vocal extension Ensemble Member Ensemble Director

T

he bank details for payment are as follows:

 

PAYEE: FONDAZIONE BENETTON STUDI RICERCHE

ADDRESS: Via Cornarotta 7-9

IBAN     IT 97 A 01030 12080 000001674714              

BIC        PASCITMMXXX  

            

or:

 

Banco Posta

PAYEE: FONDAZIONE BENETTON STUDI RICERCHE

IBAN     IT52 E076 0112 0000 0100 2551 982

BIC         BPPIITRRXXX

PAYABLE TO: Masterclass: (specify course date) ………………………..

Student name: (write) ………………………………………………………..………….


 

Attach:

 

☐. personal and music cv

 

☐. ID card's copy

 

☐. receipt of payment's copy

 

Acceptance of the terms of these Early Music Guidelines as specified by the organisers  almamusica433 and FBSR is implicit on the submission of the application form in addition to the agreement with the use of personal information for masterclass organisation purposes in accordance with regulations (D. Lgs.196/2003 and subsequent modifications).


 

The organiser reserves the exclusive right to photograph, record, film and distribute the masterclass activities as it sees fit from which course participants can not request financial compensation nor exemption.

 

 

Date                                                                      Signature                                                                                                           

 

 

© 2012-2020 by almamusica433 www.almamusica433.com, Treviso, Italy, almamusica433@gmail.com