Electronic Application Form

STEP 1:

Fill out the below form, please. The fields with exclamation mark are obligatory. Enter your e-mail address carefully, we'll stay in touch with you via electronic mail.

Title

Mr.

Mrs. or Ms.

First name	!

Family name	!

Age as of
6th July 2013

Student (up to 26)

E-mail	!

Telephone	!

Street, no.	!

City	!

PostCode	!

State	!

Interpretation class [main]	!

Instrument (voice)	!	Dance class participants put "dancer", students of acting put "actor".

Composition I wish to study

Passive participation

Background & interpretation experience	!

Second class [optional]		Inscription of second [optional] class is automatically possible only for the choir classes (Marek Štryncl, Robert Hugo). Another class may be attended only provided it's capacity enables it and both teachers (of the first [main] and second [optional] classes) agree.

Additional information about optional class (e.g. voice, ...)

		Accommodation

Triple-bed rooms in the Viticulture School

	Yes (for active participants only)
	No

Name of the person I want to stay with

Individual (please enter the name of the pension)

Board in the Viticulture School

Breakfast

Lunch

Dinner

I'm vegetarian

Notes