Instrumental Lessons Application Form for Instrumental Lessons & Hire 2021-22 Please complete the following form to apply for instrumental lessons for your child, or child in your care. For additional children or to learn a second instrument, please complete the form again. Signing up for instrumental lessons requires a term’s commitment. You will be charged for a whole term. Fees will be added to your parent pay account within the first couple of weeks of term. Instrumental lessons will automatically continue unless you give notice to stop – you do not need to reapply each term. Notice to stop lessons must be given in writing to the school office or emailed to email@example.com. Following confirmation of availability, successful applications for piano lessons must be immediately followed up with payment of half a term’s deposit via Parent Pay. Please note: This form is for Instrumental Lessons and NOT for Music Enrichment Clubs. Parent/Carer's DetailsParent/Carer's Full Name* First Last Email Address* Enter Email Confirm Email Mobile/Phone Number*Child's DetailsChild's Name* First Last Display information on lesson fees, group sizes and availability Yes No Instrumental Lessons – Group size & availability InstrumentAvailable to:Group size: Drum Fun (KS1 percussion)KS1 (Y1 & 2)four to six students Junior (KS2) Percussion KS2 (Y3, 4, 5, 6)four to six students PianoY2, 3, 4, 5, 6Individual only GuitarY2, 3, 4, 5, 6three to five students ViolinY2, 3, 4, 5, 6three to five students UkeleleKS2 (Y3, 4, 5, 6)three to five students BrassKS2 (Y3, 4, 5, 6)three to five students SaxophoneKS2 (Y3, 4, 5, 6)three to five students ClarinetKS2 (Y3, 4, 5, 6)three to five students Flute KS2 (Y3, 4, 5, 6)three to five students Drum Kit KS2 (Y3, 4, 5, 6)Pair only Note: Certain instrumental lessons may be reduced to pair/individual lessons by arrangement if space allows. Instrumental Lesson Fees Size of GroupFull cost per term Pupil premium cost per term (Applicable to one instrument lesson only) Individual (£90 deposit required upon confirmation of place)£180 £90 Pair£90 £0 Three, four, five, six (group rate)£45 £0 Instrumental Hire Fees Violin, clarinet, saxophone, flute, brass£15 per term Guitar£10 per term UkuleleFree View/Download as PDF Year group from September 2021*Please select…Year 1Year 2Year 3Year 4Year 5Year 6Year 1 Instruments*Please select a year 1 instrument:Drum FunSelect from the available instruments for Year 1.Year 2 Instruments*Please select a year 2 instrument:GuitarDrum FunViolinPianoSelect from the available instruments for Year 2.Year 3 Instruments*Please select a year 3 instrument:GuitarBrassViolinUkuleleJunior PercussionPianoDrum KitSaxophoneFluteClarinetSelect from the available instruments for Year 3.Year 4 Instruments*Please select a year 4 instrument:GuitarBrassViolinUkuleleJunior PercussionPianoDrum KitSaxophoneFluteClarinetSelect from the available instruments for Year 4.Year 5 Instruments*Please select a year 5 instrument:GuitarBrassViolinUkuleleJunior PercussionPianoDrum KitSaxophoneFluteClarinetSelect from the available instruments for Year 5.Year 6 Instruments*Please select a year 6 instrument:GuitarBrassViolinUkuleleJunior PercussionPianoDrum KitSaxophoneFluteClarinetSelect from the available instruments for Year 6.Instrument HireWill you hire or provide this instrument?* I will need to hire this instrument I will provide my own instrument Musical Instrument Hire – Terms and Conditions The loan of the instrument is for one academic year (or part year/term) and will be reviewed each July. Instruments must be brought to school on the day of lessons and taken home for practice in between. Your child will practice regularly and sufficiently (starting at 10 minutes a day). Kilmorie School will have the right to terminate the loan if there is evidence of a lack of commitment to learning. The instrument is only to be used by the child named in the application for lessons. Kilmorie School will pay for reasonable wear and tear (repair work). Accessories such as reeds and replacement strings need to be purchased by parents/carers. These are not provided by Kilmorie School. If your child leaves Kilmorie School the loan will be terminated and you will return the instrument to the school. If your child is in Year 6 the instrument should be returned to the school at the end of the academic year. Insurance is not provided by Kilmorie School, and in the event of loss or damage you are responsible for replacing the instrument for one of equivalent value. Insurance can be bought through a number of musical instrument insurers, for example: www.allianzmusicalinsurance.co.uk or www.endsleigh.co.uk. Instrumental Lessons – Hire Cost Per Term & Value Instrument Hire Cost/Term ~ Replacement Value Recorder free £10 Guitar £10 £70 Violin £15 £100 - £150 Flute £15 £200 Clarinet £15 £250 Saxophone £15 £350 Cornet £15 £250 Trumpet £15 £250 Tenor Horn £15 £300 Trombone £15 £300 Baritone Horn £15 £350 View/Download as PDF AgreementPayment*I agree that I am committed to a term's payment and understand that music instrument lessons continue automatically unless I give notice to stop them by the end of term. I agree Piano Lessons*I agree that, on confirmation of my successful application, I will pay half a term's deposit (£90 or £70 subsidised rate) via ParentPay. I agree Instrument Hire*I agree to the Musical Instrument Hire Terms & Conditions as set out above. I agree CommentsPlease provide any comments you would like to accompany your application.Signature*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.