Registration Jazz Workshop

Name*:

First name*:

Address*:

Zip / City*:

Telephone*:

Email*:

Instrument(s):

reserved seat during the main concerts at the Kupferschmiede Langnau (additional cost: CHF 100.-) Tue/Wed/Thu/Fr/Sa

There is a Jazz Workshop for Basic as well as for Advanced Levels. We kindly ask you to declare your skills!

Master Class

Basic Advanced

My skills	A Basic	B	C	D Advanced

Instrument
Theory
Improvisation
Read sheet music
Experience band / stage

Jazz-specific training:

Instrumental class:

Teacher

duration:

Teacher

duration:

Training institute:

none
music school
jazz school
music academy

Music academy students:

Degree program:

Semester:

An important part of the course is performances with the workshop bands at «Langnau Jazz Nights».

Workshop performances:

	I only want to perform once
	I would like to perform as much as possible

I travel by:

	Public transportation
	Car
	Motorbike
	Bicycle

Please choose your accommodation option (arranged by Langnau Jazz Nights):

	I don't need accommodation
	I require a single room (from CHF 96.00 per night incl. breakfast)
	I require a double room (from CHF 65.00 per night incl. breakfast)
	I would like to stay at the backpackers (CHF 29.30 per night including breakfast and linen)
	I would like to stay at the campsite (CHF 10.00 per pers./night incl. usage of restrooms)

Comments:

I will pay the fee for the workshop - CHF 650.- (CHF 750.- incl. reserved seat at concerts) - after receiving the confirmation for my application. Reduced fee for students: CHF 350.00 (CHF 450.- incl. reserved seat at concerts).

	I am a regular participant and have to pay CHF 650.- (CHF 750.- incl. seat at concerts)
	I am a student of music highschool and have to pay CHF 350.- (CHF 450.- incl. seat at concerts) Important: You must bring your student card with you in order to receive the discount!

Security code

JAZZ WORKSHOP 2012
July 23th - July 29th 2012
Application deadline:

June 30th 2012