Application - chamber category

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Application – Chamber category

* - mandatory information

E-mail on which you will receive the confirmation of the acceptance of you application

Radio organization

Name

Country

Address

Name of the contact person from the radio

E-mail

Mobile phone

The recording was produced by (please state the radio station)

Accompanying person

Name of the person who would accompany the group in case of winning a prize to the Czech Republic (only in the case of laureates who are minors)

E-mail of the accompanying person

Mobile phone of the accompanying person

The place the group would be travelling from *

Ensemble

Name of ensemble

Short bio

Members of ensemble

Competitor 1

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competitor 2

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competitor 3

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competitor 4

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competitor 5

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competitor 6

Name

Surname

Date of birth

Day

Month

Year

Place of birth

Nationality

Full address

E-mail

Mobile phone

Instrument

School

Name

Address

Website

Name of the music teacher

E-mail of the music teacher

Competition programme