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The Online Piano Summer Academy - Registration
Event Timing: 3 August to 7 August 2020
Contact us on
lorrainewild.pro@gmail.com
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Email
*
Your email
Participant Title
*
Miss
Mrs
Ms
Mr
Dr
Other:
Participant Forename
*
Your answer
Participant Surname
*
Your answer
Participant Age:
*
8 - 10
11-14
15-17
18-30
31-50
51-60
over 60
** UNDER 18 ** If the participant is under 18 please provide the full name of his/her responsible adult. Please note that under 18 cannot complete this application themselves, only a parent/guardian can enter them.
Your answer
Participants Telephone Number (or responsible adults for under 18 year olds)
*
Your answer
Country you'll be joining us from *So that we can schedule sessions at the best times
*
Your answer
Are you applying as a:
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Pianist
Observer
If you are applying as a pianist, please selected
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Beginner
Intermediate
Advance
Please list current repertoire and any exams taken:
Your answer
Confirmation of agreement to terms and conditions
*
I have read, consent and agree to The Online Piano Summer Academy TERMS AND CONDITIONS.
https://www.lorrainewild.co.uk/the-online-piano-summer-academy-terms-and-conditions/
Yes, I confirm that I have read the Terms and Conditions.
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How did you hear about The Online Piano Summer Academy
Lorraine Wild website
Recommendation from teacher
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Word of month
Other:
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