Application Form - Livorno Music Festival

Name

Surname

Birth date

Place of birth

Nationality

Address

Phone number

Message

N.B. In the event of a chamber ensemble, specify the name of the ensemble and send a single form on behalf of a group leader

Indicate Instruments and / or group's name

I will take part in the Livorno Music Festival as a

Chosen Course

I required piano accompanist

yes no Maximum 2 scores

For Chamber music and Singing Courses specify your instrument or your tessitura. In case of groups specify, in exact order, family name and instrument of each member.

I am interested in taking part in the selection to play a concert in the Livorno Music Festival by sending a video

yes no For Composer Students

Selection for the Peter Maxwell Davies Prize

yes no

Selection for participation to the Veretti Competition

yes no

Curriculum vitae

Copy of an identity card or Passport, a parent document in the case of a minor

Receipt of the Registration fee

Application form without copy of the payment of the registration fee (€ 95,00/65,00) are not valid. By bank transfer, indicate the name of the student in the purpose of the payment

How did you know about our courses?

I consent to the free publication in any form of my image for the exclusive promotional purpose

yes no

I declare I have read the rules of the Livorno Music festival

N.B. According to and with the allegiance of art. 13 of the Legislative Decree N. 196 of June30, 2003, please note that personal data gathered in this document will be handled by the Data Bank of the Amici della Musica di Livorno Association.
In addition, those who wish to do so may exercise the rights recognized in articles 7, 8 and 9 of the above cited Legislative Decree, requesting in writing from the Executive of the Amici della Musica di Livorno in charge of personal data the deletion, updating or modification of their personal data.
The data, for which we guarantee the maximum privacy, will be used in order to render possible the activity of the Association.