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SUBSCRIPTION FORM
SUMMER MUSIC CAMPUS "Musica nel Parco" - Fourth edition
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* Indicates required question
Surname and Name
*
Your answer
Address
*
Street and street number - city and state
Your answer
Phone
*
please fill in with the student's cellphone number and another number if it might be useful
Your answer
E-mail address
*
For underage students please write alo the email of one of the parents
Your answer
Place of Birth
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Nationality
*
Your answer
Musical instrument
*
please state your main musical instrument
Your answer
Musical experiences
*
Please state certificates and other musical experiences
Your answer
The repertoire you with to study
Please state if you have already started studying it
Your answer
Are you a member of the Cambristi?
*
The members of AIMA (Society of Italian Amateur Musicians, with an updated membership card may take advatange of ecnomical help contributed by the campus
yes
no
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