Music Peri Lesson Request September 2024 to July 2025

If you wish to request Music Peripatetic lessons at BSS from September 2024 to July 2025, please complete and submit this form.

Applications will be sent to NMPAT for consideration

Name of student *

Current Tutor Group *

Current Music Peri Teacher (if applicable)

Chosen instrument *

Please indicate the standard reached in this instrument, or any other relevant information

Lessons are currently taken with the County Music Service *

Yes

Instrument *

Previously borrowed a County instrument

Own an instrument

Would like information about renting / loan instrument

Intend to purchase an instrument and would like advice

If you receive Pupil Premium:

Please tick the box below and I will forward your details to our Pupil Premium Co-ordinator, to find out if funding is available for music peri lessons. Please (right-)click here for further information regarding Pupil Premium.

Pupil Premium

Please (right-)click here to read our Musical instruments at School guidelines

I have read and understand the Musical Instruments at School guidelines *

Yes

By signing the Provision of Music Lessons form you are accepting financial liability for the cost of the lessons for the whole of the Academic Year (or from the point this form is submitted, and/or lessons commence, if that is later than September). You will be invoiced and charged for three terms per full academic year and can choose either a 15, 20 or 30 minute one-to-one music peri lesson as outlined below:

£137.50 per term for eleven 15 minute lessons (total annual cost £412.50)
£183.33 per term for eleven 20 minute lessons (total annual cost £550.00)
£275.00 per term for eleven 30 minute lessons (total annual cost £825.00)

I would like to request the following lesson time *

15 minute lesson each week (total cost £412.50)

20 minute lesson each week (total cost £550.00)

30 minute lesson each week (total cost £825.00)

I understand that by ticking this box and requesting music peri lessons at BSS, I have accepted financial liability for the cost of lessons for the whole of the Academic year September 2024 to July 2025 (or from the point this form is submitted, and/or lessons commence, if that is later than September). *

Yes

I wish to have lessons only if Pupil Premium funding is available

Parent / Guardian Name *

If you require any further information, please email Peri@bishopstopford.com .

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Please leave the next box blank or your submission will not be accepted: