Music Peri September 2023 to July 2024

If you wish to request Music Peripatetic lessons at BSS from September 2023 to July 2024, please complete and submit this form by Thursday 25th May 2023.

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 Serivce *

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 lesson. Please click here for further information regarding Pupil Premium.

Pupil Premium

Please click here to read our musical information at school guidelines

I have read and understand the musical instruments at school guidelines *

Yes

I understand that by requesting music peri lessons at BSS I have accepted financial liability for the whole Academic Year. l will be invoiced and charged three terms per academic year and can choose either a 15, 20 or 30 minute one to one music peri lesson as outlined below:

£126.50 per term for eleven 15 minute lessons (total annual cost £379.50)
£168.67 per term for eleven 20 minute lessons (total annual cost £506.00)
£253.00 per term for eleven 30 minute lessons (total annual cost £759.00)

I would like to request the following lesson time *

15 minute lesson each week (total cost £379.50)

20 minute lesson each week (total cost £506.00)

30 minute lesson each week (total cost £759.00)

I have read the music peri information leaflet and 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 2023 to July 2024. *

Yes

Parent / Guardian Name *

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

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