Firenze Application Form Required information is marked * Firenze 2017 Application Form Student & Parent/Next of Kin InformationTerms & Conditions* I have read and accept the LMFL Registration Terms & Conditions Please note that students new to LMFL will need to send us a link to a video recording of them playing. Please upload the video to YouTube or a similar serves and send us the link - no video files please.New Students Only - Link to Your Video Student Name* First Last Student's Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Student's Date of Birth* Student's Nationality*Student's email address*Name of Parent or Guardian if Student is under 18 years old First Last Parent's email address if student is under 18 years oldEmergency next of kin mobile telephone number*Parent's phone number if student is under 18 years oldStudent's mobile phone number (including country code) if student is over 18 years oldMusic LevelDiplomaThe instrument(s) that you play / your voiceWhere did you hear about our course?Basic Registration FeesBasic course fee includes includes registration, administration costs, use of facilities on the premises, choir, main orchestra and string orchestra or guitar ensemble as applicable. The basic fee is £800. Students of the Firenze Conservatory do not pay the basic registration fee. Basic student feeBasic course fee - options*Select the Student Basic FeeBasic fee for studentsSpecial fee for students of the Firenze Conservatory £800 £0Total £ 0 Music OptionsAccompaniment - Important Note Where accompaniment is required, it must be booked in advance as part of the registration. We are sorry but it is not possible to improvise during the course. You can choose how many hours of accompaniment below - after the options for piano.Opera Workshop Classical Vocal WorkshopOpera Workshop optionsNoYes £300Classical Vocal Tuition Classical Vocal TuitionClassical Vocal Tuition - optionsChoose an voice tutorClassical Vocal Tuition - Leonardo di Lisi - 9 hoursClassical Vocal Tuition - Simonida Miletic - soprano - 9 hoursClassical Vocal Tuition - Vitalba Mosca - mezzo-soprano - 9 hours £700Jazz Vocal Tuition Jazz Vocal TuitionJazz Vocal Tuition - optionsChoose an optionJazz Vocal Tuition - Letizia Morelli - 9 hours including jazz vocal workshop £800Strings Choice 1 - one to one tuition Strings Choice 1Options Strings 1Choose a String TutorAlexander Markov - Violin - 9 hoursAlexander Markov - Violin - 18 hoursMadeleine Mitchell - Violin - 9 hoursMadeleine Mitchell - Violin - 18 hoursRichard Crabtree - Violin/Viola - 9 hoursRichard Crabtree - Violin/Viola - 18 hoursAlbert Markov - Violin - 9 hours - including accompanimentAlbert Markov - Violin - 18 hours - including accompanimentDaniel Grosgurin Cello Masterclass 18 hours without individual tuitionDaniel Grosgurin - cello 9 hoursDaniel Grosgurin - cello 18 hoursPierre Feyler - Double Bass - 9 hoursPierre Feyler - Double Bass - 18 hours £500 £800 £900 £1,600 £1,800Strings Choice 2 - one to one tuition Strings Choice 2Options Strings 2Choose a String TutorAlexander Markov - Violin - 9 hoursAlexander Markov - Violin - 18 hoursMadeleine Mitchell - Violin - 9 hoursMadeleine Mitchell - Violin - 18 hoursRichard Crabtree - Violin/Viola - 9 hoursRichard Crabtree - Violin/Viola - 18 hoursAlbert Markov - Violin - 9 hours including accompanimentAlbert Markov - Violin - 18 hours including accompanimentDaniel Grosgurin - Cello - 9 hoursDaniel Grosgurin - Cello - 18 hoursPierre Feyler - Double Bass - 9 hoursPierre Feyler - Double Bass - 18 hours £800 £900 £1,600 £1,800Guitar one to one tuition GuitarOptions GuitarChoose a guitar tutorAlfonso Borghese - Classical Guitar - 9 hours £700Interpretation of Baroque Music with David Bellugi Interpretation of Baroque MusicOptions Interpretation of Baroque MusicNoYes £250Wind & Brass - one to one tuitionWind & BrassOptions Wind & BrassChoose a TutorPaul Goodey - Oboe - 9 hoursDaniela Pisano - Flute/Piccolo - 9 hoursPaolo De Gaspari - Clarinet - 9 hoursPaolo De Gaspari - Bass Clarinet - 9 hoursDavid Bellugi - Recorder - 9 hoursTutor TBA - Saxaphone 9 hours (+2h/day workshop) £700Woodwind Master Class with Paulo De Gaspari 9 hours with no individual tuition.Woodwind MasterclassOptions Woodwind MasterclassNoYes £200Trombone with Tutor TBA One to one tuition - 9 hoursTromboneOptions TromboneNoYes £700Brass with tutor tbaBrass with tutor tbaOptions Brass with tutor tbaSelectOne to one tuition - 9 hoursTrumpet Master Class - 18 hours without individual tuition £300 £700Sax Ensemble Workshop with tutor tba 2 hours per working day without individual tuition.Sax Group Masterclass with tutor tbaOptions Sax Group MasterclassNoYes £400Jazz Sessions 9 hoursJazz SessionsOptions Jazz SessionsNoYes £200Piano One to one tuitionPianoOptions PianoChoose a Piano TutorRustem Koudoyarov - Piano - 9 hoursRustem Koudoyarov - Piano - 18 hoursVira Mullerova - Piano - 9 hoursVira Mullerova - Piano - 18 hoursKatia Nemirovitch Danchenko - Piano - 9 hoursKatia Nemirovitch Danchenko - Piano - 18 hours £800 £1,600Piano Accompaniment Where piano accompaniment is required it must be booked in advance, sorry we cannot improvise.Piano accompanimentOptions Piano AccompanimentChoose piano accompaniment1 hour2 hours4 hours9 hours18 hours £25 £50 £200 £400 £800Piano JazzPiano JazzOptions Piano JazzChoose a Piano Jazz TutorTutor to be announced - Piano Jazz - 9 hoursTutor to be announced - Piano Jazz - 18 hoursWilliam Godfrey - Piano Jazz -9 hours £800 £1,600OrganOrganOptions OrganChoose an Organ TutorWilliam Godfrey - Organ - 9 hours £800Percussion 9 hours one to one with Chen ZimbalistaPercussion one to oneOptions Percussion one to oneNoYes £800Percussion Workshop 9 hours Percussion WorkshopOptions Percussion WorkshopNoYes £300Harp with Lisette RossiHarpOptions HarpNoHarp - 10 hours £850Conducting Course with Matthias DulackConducting CourseConducting Course optionsNoYes £800Composition Course one to one Composition CourseComposition Course optionsChoose a Composition TutorComposition with Dr Paul GoodeyComposition with William Godfree £800Theory one to oneTheory one to oneTheory one to one optionsChoose a Theory TutorDr Paul Goodey - one to oneWilliam Godfree - one to one £650Chamber Music Chamber MusicChamber Music OptionsNoYes £350Rentals - cello, guitarRentalsRental optionsSelectGuitarCelloHarp £250 £50Total £ 0 Language OptionsEnglish lessons in a small groupEnglish lessons in a small groupEnglish group optionsSelect number of hours9 hours18 hours £225 £450French lessons in a small groupFrench lessons in a small groupFrench group optionsSelect number of hours9 hours18 hours £225 £450German lessons in a small groupGerman lessons in a small groupGerman group optionsSelect number of hours9 hours18 hours £225 £450Italian lessons in a small groupItalian lessons in a small groupItalian group optionsSelect number of hours9 hours18 hours £225 £450English lessons one to oneEnglish lessons one to oneEnglish 1-2-1 optionsSelect number of hours9 hours18 hours £450 £900French lessons one to oneFrench lessons one to oneFrench 1-2-1 optionsSelect number of hours9 hours18 hours £450 £900German lessons one to oneGerman lessons one to oneGerman 1-2-1 optionsSelect number of hours9 hours18 hours £450 £900Italian lessons one to oneItalian lessons one to oneItalian 1-2-1 optionsSelect number of hours9 hours18 hours £ 450 £900Total £ 0 Airport TransfersAirport transfer on arrival only, and only for students under 18 years old.Airport transferAirport transfer optionsnoyes £60Total £ 0 AccommodationAccommodation is only available for returning LMFL students or approved students 17 to 24 years old. - Accommodation is in a 2 or 3 bed shared room. - 2 bed accommodation involves sharing a flat with air conditioning, 2 single beds, small kitchenette and large ensuite bathroom. 2 bed accommodation is available only for students aged 18 or over, - 3 bed accommodation involves sharing a room with 3 single beds, air conditioning and large ensuite bathroom. - There is a £200 supplement for students aged under 18. - Prices include Tourist Tax and breakfast. accommodationAccommodation OptionsnoneStudents aged 18 or over sharing a flat with 2 single beds, small kitchenette and ensuite bathroom.Students aged 18 or over sharing a room with 3 single beds and ensuite bathroom.Students aged under 18 sharing a room with 3 single beds and ensuite bathroom. £650 £550 £350Total £ 0 Course DiscountsDiscounts are available for bookings completed and paid in full by 15th October 2016, if you are a previous LMFL student, if you are participating in more than one course in 2017, and for additional participating family members. Early booking discount - 10% Returning LMFL students - 2.5% 2 courses in 2017 - 5% siblings registering together - 5% The discount applies to all course music options and language options. The discount is not applied to the basic course fees, accommodation, lodgings, piano accompaniment, instrument rentals or airport transfers. Please select all that apply. Bookings confirmed and paid in full before 15th October 2016 qualify for a 10% discount on the tution fees (excluding basic course fees, accommodation, lodgings, instrument rentals or airport transfers)Early Booking Discount Yes Please note that to qualify we must receive your full payment by 15th October 2016.Early Booking Discount Price: £ 0 Returning LMFL students qualify for a 2.5% discount on the course fees (excluding basic course fees, accommodation, lodgings, instrument rentals or airport transfers)Returning LMFL Student Yes Returning student discount Price: £ 0 Students registering for a second course within a year qualify for a 5% discount on the course fees (excluding basic course fees, accommodation, lodgings, piano accompaniment, instrument rentals or airport transfers.)2nd course in a year Yes 2nd course discount Price: £ 0 Siblings registering together receive a 5% discount on course fees (excluding basic course fees, accommodation, lodgings, piano accompaniment, instrument rentals or airport transfers.)Siblings resistering togther Yes sibling discount Price: £ 0 Total after discounts £ 0 Sending the Form & Making PaymentWhen you are happy with the options you have selected, please send the form to us - we will check the options you have chosen and send you a provisional booking confirmation if your application is successful. At that point we will request payment - by bank transfer please - and send you details of how to pay. We will require a minimum £ 700 deposit with the balance payable in full by 1st May 2017. Once you have received your provisional booking confirmation you must make the payment required within 5 working days - if we do not receive the payment within 5 working days we will not be able to guarantee your place on the course. If you have any questions about the options or any other aspect of the course, please write in the box below.Additional CommentsI am ready to send the form and apply to LMFL for the Firenze 2017 course.NoYesNameThis field is for validation purposes and should be left unchanged.