2026 Registration Form

3rd Mathieu Crickboom Competition – 2026 Registration Form

First name

Surname

Date of birth

Nationality

Postal address

Copy of identity card front and back (JPEG or PDF format)

Recent good-quality photography (JPEG or PNG format)

E-mail (of responsible person)

Telephone number (of responsible person)

Bank details (Account holder + IBAN)

First name and surname of the teacher

Telephone number of the teacher

E-mail of the teacher

Name of the artistic music education institution

Certificate of the artistic music education institution (PDF format)

First name and surname of the piano accompanist

List of works for de concert event

List of works for the final

To close the file, a sum of 40 (forty) euros will be paid to the IBAN account BE52 1430 9443 0009 of the non-profit organisation Artistic Prizes of the City of Verviers with the following communication : surname and first name of the candidate + Crickboom 2026

By registering for the 3rd Mathieu Crickboom Competition, the candidate accepts the terms of the latter’s rules.