入力内容保存／読込

The 46th Kusatsu International Summer Music Academy Audit class Application Form

1 information input①
2 information input②
3 Confirmation
4 Completion
Note that you will be required to upload your ID picture at a later stage, so please have these prepared before you begin.
※Required
Full name in alphabet※
Last name 
First name  
Gender※
Date of birth※
 ,  ,  . 
Age※
Phone number※

*Please enter the phone number where we can reach you.
Email address※

(check)
*Please set your device to allow messages from info@kusa2.jp.
Current address※
Language※
Musical career, academic background/Current job, enrolled school※

*Less than 100 words
Applicant’s photo※
Please click on the button.→ 
Please rename the file as "Photo_YOUR NAME"
*JPEG file. (Trim into square.）
*Up to 6 MB.
Are you attending as a parent of a masterclass participant?※
Emergency contact
Full name in alphabet※
Last name 
First name 
Relationship to Applicant※
Phone number※

*Please enter the phone number where we can reach you.
Address of emergency contact※
Address