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Registration Junior Jazz Workshop

Name*:
First name*:
Address*:
Zip / City*:
Telephone*:
Email*:
Instrument(s):
Date of birth*:
Please assess your musical skills in order for us to put together optimal classes!

My skills		   A
basic		 B

 C

 D
super
Playing my 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
Sponsorship award for young jazz talent:
I would like to participate in the contest organized by the Swiss Jazz School, Bern (contest regulations)
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 / children up to 16 years CHF 26.00 incl. 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 workshop fee (CHF 250.-) after receiving the confirmation for my application.
Security code
 

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

June 30th 2012