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Name* :
First name * :
Date of birth* :
Place of birth* :
Nationality* :
Address* :
Postal code* :
City* :
Country* :
Deposit payment online via Paypal required.
Phone* :
Email* :
Teacher's name* :
Conservatory* :
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Information on the training
Instrument* :
Teacher's name* :
Nº of session* :
Accommodation* :
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Rule

  1. To be validated, all application requests must include:
    • A 200 (two hundred euros) cheque made out to: Académie Internationale de Musique et de Danse de la Lozère. This payment shall not be refunded in the event of cancellation.
    • For students of French nationality : Please make out a cheque of 200 euros to the association.
    • For other students, thank you to use Paypal.
    • Two recent passport photos.
    • For applicants under 18 years of age as at 15 July, a parental consent letter releasing the Académie of all liability for the duration of the course and the journey.
    • One (23 x 16) self-addressed envelope (For receipt confirmation or possible additional information requests).
  2. Only complete applications received before 30 June will be considered.
  3. After this date, acceptance will be given depending on availability of places. All applications will be subject to approval by the teachers.
  4. For session 1,2, 4 and 5, please send this complete application to:
      The Académie de Lozère secretariat for the Mende course:
      Monsieur Marcel Saint Michel
      1, rue Maurice Ravel
      94 440 DOMAINE DE SANTENY
      FRANCE
      Tel.: + 33 1 43 86 04 53
      Mob.: + 33 6 87 56 10 35
  5. For session 3, Please send this complete application to:
      The Académie de Lozère secretariat for the Mende course:
      Monsieur Andras CSABA
      5, rue RICHAN
      69004 LYON
      FRANCE
      Tel.: +33 4 78 39 64 60
      Mob.: +33 6 11 37 05 79 or +33 6 24 66 62 93

 

 

 
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