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Formularz zgłoszeniowy / Application form
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UWAGA: Termin zgłoszeń został wydłużony do dnia 15 października 2021!!!
Dane podstawowe / Personal data
Imię / first name
*
Your answer
Nazwisko / last name
*
Your answer
Data urodzenia / Year of birth
*
MM
/
DD
/
YYYY
Obywatelstwo / citizenship
*
Your answer
Szkoła / school
*
Your answer
Nauczyciel / teacher
*
Your answer
Akompaniator / accompanist
*
Your answer
REPERATUAR / REPERTOIRE
Kategoria / Category
*
I
II
Etap 1 / Stage 1
*
Your answer
Etap 2 / Stage 2
*
Your answer
Etap 3 / Stage 3
*
Your answer
Kontakt / Contact
Adres e-mail / e-mail address
*
Your answer
Telefon / Phone no.
*
Your answer
Po wysłaniu zgłoszenia prosimy do dosłanie wymaganych w regulaminie załączników na adres:
skrzypcowykonkurs@lowiecka.wroclaw.pl
After sending the application, please send the attachments required in the regulations to the following address:
skrzypcowykonkurs@lowiecka.wroclaw.pl
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