REGISTRATION FORM - CRICKBOOM COMPETITION - Prix Artistique de la Ville de Verviers

Name of COMPETITION

NAME

FIRST NAME

Date of birth

Category selected

Category A Category B

Postal address

Telephone

Identity card front and back

Certificate issued by the Belgian artistic music school attended, mentioning the precise duration of this attendance and the results obtained in this school

Name and surname of the teacher

GSM and email of the teacher

List of works from the candidate's repertoire, as well as the precise timing of each movement (see art. 3 of the regulations)

A recent photo

Rules

I have read and accept the conditions of the Crickboom Competition rules

Message

To close the file, a sum of 40 (forty) euros will be paid to the account : BE52 1430 9443 0009 of the ASBL Prix artistiques de la Ville de Verviers. With the mention: name and surname of the candidate/ Competition/ Crickboom Competition/ Categorie A/ Category B
Candidates selected and in order of registration will be notified by email.
This registration is valid for approval of the rules of the Crickboom Competition

REGISTRATION FORM – CRICKBOOM COMPETITION

Concours Crickboom

Concours vieuxtemps

partenaires