FLUTES IN TUSCANY

ELIZABETH

WALKER

Monday 11th July to Sunday 17th July 2016LOCATION Tereglio, Tuscany

APPLICATION FORM

This form must be returned with your Medical Form and deposit.

Full course fee = £750 made payable by June 30th (deposit = £200)

Applicant INFORMATION (Please complete in block capitals)
First Name / Surname
Address
Telephone (H) / Mobile
Email
Date of birth / Age / Male/Female
Nationality / First language
Parent/ Guardian name, if under 18
Emergency Contact details (if different from above) for use during the course
Repertoire for course.
(please choose)
a) recital piece
b) baroque piece
c) concerto
d) short unaccompanied piece
Travel arrangements.
Please indicate if you plan to fly to Pisa, drive or take a train to Bagni di Lucca
Instrument Insurance – please confirm that you have cover in place
If you are still at school and intend to study at music college,or further your study at music college, you can apply for financial aid – up to £300 off the total fee.
Please provide a written testament by MARCH 2016, signed by your flute teacher, stating why you want to attend this course, with particular reference to what you hope to achieve whilst on the course and how this will impact on your current flute playing goals.
Forward to by 1st March 2016
Will your place be dependent on this aid? / YES/NO
Where did you hear about the course?
TERMS & CONDITIONS

Enrolment

A place on the course can only be reserved upon receipt of the fully completed and signed application formsand must be accompanied by the non-returnable deposit of £200.00 on a first come, first serve basis. Deposits cannot be refunded unless we are unable to offer the course. No bookings will be confirmed and secured until payment of the deposit has been received.

Balance of Fees

The balance of fees must be received no later than 30th June 2016. Places will be cancelled and the full deposit retained if the balance is outstanding after this date.

The course fee includes:

  • Accommodation for 6 nights in a shared room. (A single room can be arranged at an extra cost of 30 euros per night.)
  • Breakfast, lunch and dinner.
  • Tuition, masterclasses and ensembles.
  • Transfers from Bagni di Lucca station.

The course fees do not include:

  • Travel to Italy
  • Travel or Personal insurance.
  • Expenses arising from the need for medical or dental treatment
  • Pocket money or incidental personal expenses.

Payment

BACS:

Account Name: FLUTES IN TUSCANY (Liz Walker)

Sort Code: 60-21-51

Account No: 60608137

IBAN : GB67NWBK60215160608137

BIC: NWBKGB2L

Please ensure payment is made in Pounds Sterling (GBP) and state full name as reference.

Or cheques to be made payable to: Elizabeth Walker

Cancellation

In the event of the course being cancelled a complete refund of the fee will be given or an alternative date will be offered. If an individual cancels a booking the initial deposit of £200 is non-refundable. All cancellations must be made in writing.

Photographs

Names and photographs may be taken and used electronically for marketing purposes – objections will be respected.

Please sign to indicate acceptance of these conditions

STUDENT SIGNATURE: ______

DATE: ______

It under 18 PARENT / GUARDIAN SIGNATURE: ______

DATE: ______

PARENT / GUARDIAN NAME (BLOCK CAPITALS):

Return completed form to –

Elizabeth Walker Stream Farm, High Street, North Wootton, SOMERSET, BA4 4AA