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Application form Kracamera Jazz 2022.

Chamber ensemble

Name of the chamber ensemble*

Age category*

Section*

Name of the music School/University/Academy*

Program of performance (full name of composer, title of composition, names of the individual parts of the piece, duration of the program and link to the video of the performance)*

Czas trwania programu*

Program of performance (full name of composer, title of composition, names of the individual parts of the piece, duration of the program and link to the video of the performance)*

Teacher/s leading the Ensemble

academic title of the Teacher/s leading the Ensemble*

name and surname of the Teacher/s leading the Ensemble*

Teacher/s leading the Ensemble

academic title of the Teacher/s leading the Ensemble*

academic title of the Teacher/s leading the Ensemble

name and surname of the Teacher/s leading the Ensemble

Teacher/s leading the Ensemble

name and surname of the Teacher/s leading the Ensemble*

Contact

name and surname of the contact person*

contact phone number*

contact e-mail address*

correspondence address

confirmation of payment

Potwierdzenie opłaty*

Scan dowodu tożsamości uczestnika*

Teacher/s leading the Ensemble

Accept terms and conditions*

Please accept privacy policy*

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Siedziba

ul. ks. Zagrodzkiego 6/1
30-427 Kraków

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Agnieszka Kusior

tel. +48 600 312 024

e-mail fwsm@fwsm.pl

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