Apply to the Orford Music Academy!

General information

Name*

Title First name Last name

Gender*

Date of birth*

Principal phone number*

Secondary phone number

Email*

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Citizenship*

Citizenship Precision*

Place of birth

City*

Country*

Province*

State*

Parents name

Parent 1*

Title First Name Last Name

Parent 2*

Title First Name Last Name

Contact information

Postal Address*

Street Address Apartment City State / Province / Region ZIP / Postal Code Country

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Permanent Address*

Street Address Apartment City State / Province / Region ZIP / Postal Code Country

Emergency contact

Emergency Contact Name*

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Emergency number*

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Class selection

June 11 to June 17, 2023

June 18 to June 24, 2023

June 25 to July 1, 2023

July 2 to July 8, 2023

July 9 to July 15, 2023

July 16 to July 22, 2023

July 23 to July 29, 2023

July 30 to August 5, 2023

General information

Place of birth

Parents name

Contact information

Emergency contact

Health

Lodging

Academic informations

Payment