Please complete and return this form to:

contact@long-thibaud.org
by September 10th

First Name: ........................................................ Last Name:...................................................................................

I would appreciate lodging with a host family: I would like to have access to a piano:
Yes No Yes No

The title of the chosen piece I will play :

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If selected, my choice of program (max 45 min) for the semi-finals is:

(modifiable at will)
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If qualified for the finals, I choose to play the following concerto:

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I would like to try the concert piano at the Ecole Normale de Musique A.Cortot
- 78 rue Cardinet, 75017 - on Sunday November 6 from:

10h-10h15 10h15-10h30 10h30-10h45 10h45-11h 11h-11h15

11h15-11h30 11h30-11h45 11h45-12h 12h-12h15 12h15-12h30
12h30-12h45 12h45-13h 13h-13h15 13h15-13h30 13h30-13h45
13h45-14h 14h-14h15 14h15-14h30 14h30-14h45 14h45-15h
15h-15h15 15h15-15h30 15h30-15h45 15h45-16h 16h-16h15
16h15-16h30 16h30-16h45 16h45-17h 17h15-17h30

I would like …… invitations for my family and guests to attend all sessions.

We are delighted to invite you on Sunday, November 6 at 6 p.m. to a convivial "Welcome to Paris"
cocktail hour.