Заявка-анкета участника VI Фестиваля одаренных детей мигрантов и их местных сверстников Республики Башкортостан «Карлугас-2011»

Заявка-анкета

участника VI Фестиваля одаренных детей

 мигрантов и их местных сверстников

Республики Башкортостан

«Карлугас-2011»

1. Ф.И.О.                                                                                                                                             
2. Дата и место рождения                                                                                                                                                                                                                                                                            
3. Место учебы                                                                                                                                  
4. Домашний адрес (индекс, контактный телефон)                                                                                                                                                                                                                                      
5. Номинация                                                                                                                                       
6. Название произведения – автор (чья музыка и стихи, если танец – хореограф, если фортепьяно – аккомпаниатор)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
7. В каких конкурсах, фестивалях ранее принимал (а) участие                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
8. Место обучения (занятие) (кружок, детский центр, музыкальная школа и т.д.)                                                                                                                                                                                                                                                                                                                                              

1. Ф.И.О. и звание преподавателей, художественных руководителей                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

     Дата ___________                                   Подпись _____________                  Тел._____________________

Положение о фестивале «Карлугас-2011» получил   «___ »_________ 20________/_______________/