Application form The 31st International Fryderyk Chopin Piano Competitionfor Children and Youth in Szafarnia Surname Given Name(s) Date of Birth Nationality Address (street, postcode, city, country) Name and surname of the parent/guardian E-mail of the parent/guardian Phone number of the parent/guardian (without spaces) Age Group ---I Group (2014, 2015, 2016 or younger) II Group (2011, 2012, 2013)III Group (2008, 2009, 2010) Link to video recording uploaded on YouTube (one piece from the contestant’s programme) Teacher’s first and last name Name and address of the participant’s school E-mail of the school Contact number of the school (without spaces) Biography (max. 250 words) Recommendation letter written by Recommendation letter Accepted file formats: jpg, png, jpeg, pdf. The maximum size of a file 3MB. Will a visa invitation be necessary for the candidate and any assistants? ---YesNo How many people are affected by the visa ---12345 Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Name Surname Address Passport number Relatedness/function ---fathermothersiblingsgrandparentsteacherother If other, please specify: Competition Repertoire It is necessary to perform each piece in the order chosen in the application form. Labels for entering the program will appear after selecting the age group. Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Composer Title Add another piece Composer Title Add another piece Composer Title Add another piece Composer Title INAUGURATION CONCERT Booking seats for the inaugural concert ---YesNo How many reservations (including participant) should be made? ---123456 ARRIVAL Arrival to your audition at the Chopin Centre ---On my ownTransport will be necessary How many people will use transport? ---123456 Arrival from Torun and Golub-Dobrzyń to the Chopin Centre and back again is ensured by the organizer at the following locations at the specified time depending on when auditions begin. Toruń: CKK Jordanki, Aleja Solidarności 1-3; Golub-Dobrzyń: Starostwo Powiatowe, Plac 1000-lecia 25; APPLICATION FEES Application fees applies only to QUALIFIED PARTICIPANTS (the list will be announced April 2, 2024 r.). From Polish applicants – in PLN, foreign applicants in EURO equals: 140,00 PLN or 30,00 EURO. Fees should be sent to the following bank: IBAN: PL 04 1020 5024 0000 1002 0042 0828 PKO Bank Polski Kod BIC (Swift): BPKOPLPW Recipient: Ośrodek Chopinowski w Szafarni, Szafarnia 1, 87-404 Radomin Purpose of payment: Konkurs, participant’s name and surname. example: konkurs, Jan Kowalski Bank account details with the BIC/SWIFT code of the bank for which money will be paid in the case of winning a prize: ATTACHMENTS All attachments cannot be larger than 20 MB. One recent portrait photo Accepted file formats: jpg, png, jpeg, pdf. The maximum size of a file 3MB. Photocopies of diplomas and received awards (max. 10 files, total 15 MB) Files should be selected with the CTRL key held down. ❌ ❌ I declare that I understand and agree with the terms and conditions of the Competition Regulations and I am responsible to perform the programme indicated above. I declare that the data provided and the documents attached to the application form are true. Rules of the Competition I consent to the processing of personal data of my child for purposes of organising, conducting and promoting the 31st International Fryderyk Chopin Piano Competition for Children and Youth in Szafarnia organised by the Chopin Centre in Szafarnia. RODO Please enter the code Sending the form may take several minutes. After clicking the button, please be patient. After submitting the form, you will receive a copy to the guardian's email address.
