Italian music school in Florence, Italy
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Summer Programs
Application Form
REGISTRATION FORM (Registration deadline is May 15th, 2009)
If you are interested , please send the following:
Completed registration form - Receipt of your payment - Photocopy of the first page of the student’s passport - Student’s curriculum vitae
To: Scuola di Musica “Il Trillo” & Florence International Music Services
Piazza Salvemini, 21- 50122 Firenze – Italia
Phone/ Fax +39 055 2341049 - e-mail: info@il-trillo.com
Please send the payment to:
ACCOUNT NAME: FLORENCE INTERNATIONAL MUSIC SERVICES
BANK NAME: CASSA DI RISPARMIO DI FIRENZE, SEDE
ADDRESS: VIA BUFALINI, 6 FIRENZE ITALY
IBAN: IT81 U061 6002 8000 0011 2685 C00
COD. BIC SWIFT: CRFIIT3FXXX
STUDENT INFORMATION
First Name
Family Name
Date of Birth
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Sex
Select
Female
Male
Nationality
Passport number
CONTACT INFORMATION
Home address
City
Zip Code
Region:
Select Region
Asia
Africa
Australia
Europe
Middle East
Latin America
North America
South America
Country:
State (USA only):
Phone
Fax
Mobile
E-mail
OTHER INFORMATION
Language Spoken
Profession / Studies
BIO + teacher name
Masterclasses
Repertoire
Performing experience
The repertoire you wish to study
I wish to register for the following course: (only 1 instrument):
Select
Piano
Violin
Viola
Cello
Flute
Piccolo
Oboe
Trumpet
Trombone
Sax
Double Bass
Horn
Guitar
Drums
Electric Guitar
Electric Bass
Voice
Please attach your CV
Please attach copy of the first page of your passport
Declaration
I confirm that I have read and understood the “School of Music Il Trillo & Florence International Music Services” Terms and Condition for participation in the Summer Program
I understand that “Il Trillo” & Florence International Music Services” reserves the right to expel any students whose behaviour puts the safety and well-being of others at risk.
I understand that no refund of tuition, fees, or rent will be given to any student who is expelled from the program.
Students will be held responsible for any damages to their apartment made during their stay.
The rent period begins on the day before the program’s start date and ends on the day after the last day of classes. Check-in time is from 10 am to 7 pm on check-in day only. If you experience any delays, please contact the “Il Trillo” housing coordinator as soon as possible. Check-out is no later than noon on check-out day.
Cancellation and Reimbursement Policy: For cancellations made up to thirty days before the beginning of the course, Il Trillo will reimburse 20% of the amount paid for the Summer Program, the Italian course and accommodations. For cancellations made less than thirty days before the beginning of the course there are no reimbursements.
Please enclose a receipt of deposit of 400,00 Euro (50% of the amount) for the Summer Program.
ITALIAN LANGUAGE COURSE
I wish to register for the
Italian Language Course
Select
Yes
No
I am enclosing a copy receipt of deposit of 150 Euro (50% of the amount) for the 2-week Italian Language Course.
ACCOMMODATIONS REQUIRED
Type of Accommodation
Select
FAMILY HALF-BOARD (breakfast + dinner)
STANDARD FLAT SHARED WITH OTHER STUDENTS
NONE
I am enclosing a deposit of 230.00 Euro (50% of the amount) for the stay with a family, twin bed in a double room (based on double occupancy), breakfast + dinner
I am enclosing a deposit of 145.00 Euro (50% of the amount) for stay in an apartment with one twin bed in a double room (based on double occupancy), kitchen and bathroom shared
The outstanding balance for the Summer Program, accommodations (if requested) and the Italian Language Course (if requested) must be paid on the first day of classes.
Witth the present authority given to “Il Trillo” Music School, according to Law 675/96 (“Privacy Law”), the personal information given is solely and exclusively for the use of the school and other connected institutions which are instrumental in planning the activities of the school.
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Italian Music School "Il Trillo"
Piazza Salvemini 21 50121 Firenze
+39.0552341049 -
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