Advanced Instrumental & Vocal Application Form
Brighton & Hove Music & Arts - April 2021 to March 2022
01
Application
02
Tuition fees & subsidies
03
Agreement
A Personal Details:
Pupil's Details
First Name
Last Name
Date of Birth
Gender
Male
Female
School
Class
Parent/Carer Details
Title
Name
Address
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Telephone Number 1
(home, work or mobile)
Telephone Number 2
(home, work or mobile)
Email
Email communication will be used by BHMA wherever possible
Please inform us of any relevant information to help us support your child’s instrumental learning:
Brighton & Hove Music & Arts is committed to ensuring instrument and vocal learning opportunities are available to all children and young people in the city. If your child has any additional or educational needs, including a disability, and you would like to discuss how we can best meet them, please contact Mike Johnson, Manager, Instrumental and Vocal Programmes on 01273 261565 or mike.johnson@brightondome.org
B Instrument:
Please state here which
instrument your child would like to learn to play:
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C Tuition Fees:
Current termly fee: £198.00 (to be invoiced).
Registration fee: £5
Current termly fee with 70% subsidy is £59.40 (to be invoiced)
Current termly fee with 30% subsidy is £138.60 (to be invoiced)
Payments by bank card can be made on the www.bhma.org.uk website.
You will not be charged a Registration Fee if your child already receives instrumental lessons in school from a Music & Arts teacher or if your child is a member of a Music Centre.
D Subsidised Tuition Scheme:
Subsidies for Looked After Children (children in care)
I wish to apply for a subsidy as the application is for a Looked After Child (child in care).
70% Subsidies (see below for Tax Credit subsidies)
I wish to apply for an 70% subsidy and attach/upload current evidence because I receive:
Income Support
Income Based Employment Support Allowance
Income Based Job Seekers Allowance
Pension Credit
File Upload - 70% subsidy documents:
Please attach/upload a scan or photograph of the required pages from your benefit award here:
If you are receiving Income Support please upload a copy of a recent award letter here
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If you are receiving ESA or JSA, please upload a copy of a recent award letter including the last page that states that your benefit is 'Income Based'.
Copy of Front page of benefit award letter
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ESA & JSA page which shows benefit is Income Based
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Tax Credit Subsidies PLEASE MAKE SURE YOU UPLOAD THE 3 PAGES REQUESTED FROM YOUR TAX CREDIT AWARD
I wish to apply for an 70%
subsidy because I receive:
Child Tax Credit with entitlement to freee school meals – you can check if you are entitled to free school meals by going to www.brighton-hove.gov.uk/onlinefreeschoolmeals
I wish to apply for a 30%
subsidy because I receive:
Working Tax Credit with entitlement tothe maximum available – where the reduction due to your income in “Part 2: How we work out your tax credits”, is zero.
File Upload - Tax Credit subsidy documents:
You can upload a scan or photograph of the required pages from your 2019/20 Tax Credit Award here:
Tax Credit Award front cover
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Part 2 which shows how your Working Tax Credit is calculated if
you receive it
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The page which gives details of your household earned income
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If you do not meet the criteria above but feel that there are circumstances that we should take into account, please use the text box below to explain and attach/upload the above mentioned pages of your 2019-2020 Tax Credit Award.
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What Happens Next?
Your instrumental teacher will contact you to give you details about your child’s first lesson and to confirm details of the instrument and music required. Please do not obtain an instrument until you have received this information. If there is a particularly high demand for tuition at your school it may be necessary to place your child on a waiting list. Waiting lists are regularly reviewed with the aim of providing tuition as soon as possible. (Please note that application forms are date stamped on receipt and priority is given to those received first).
Tuition Fees
If your child is registering with Brighton & Hove Music and Arts for the first time, a £5 Registration Fee is payable and will be added to your first invoice. Fees are payable in advance and will be invoiced at the beginning of each term. The current fee is £195.40 per term. In the event of non payment a Final Demand will be sent to you. Regrettably we are obliged to withdraw tuition if bills are not paid, but we will not do this without contacting you first. Online payments by debit card can be made on our website www.bhma.org.uk
Because of the administration involved, if your child withdraws before lessons commence, the Registration Fee and 20% of the Introductory Course fee will be charged.
If your child is unable to attend four or more consecutive lessons due to illness, please inform us and we will credit your account.
Lessons that pupils may not be able to attend due to exams, school trips, or unexpected school closures are not credited or automatically made up. If sufficient notice is given to the instrumental teacher lessons may be able to be re-scheduled although this cannot be guaranteed.
If you are having difficulty paying your child’s fees please contact us to discuss how we might be able to help.
Withdrawals
• To enable us to offer tuition to another child, we require notification of withdrawal by the following dates for tuition to cease at the end of term: 8 November; 28 February; 7 June;
Notice to withdraw can be given via email, letter or telephone to Brighton and Hove Music and Arts. Alternatively you can inform your child’s instrumental teacher. Please note teachers are unable to accept verbal notification from pupils.
• If we do not receive notice by these dates, half a term’s fees will be payable in lieu of notice.
• Once lessons have begun in any one term, a full term’s fees are payable.
• Lessons are offered during examination periods and study leave as continuing tuition cannot be guaranteed if pupils are withdrawn from lessons for a temporary period.
• Lessons continue from one academic year to the next and as pupils move from one school to another. The required notification is therefore still required if pupils withdraw when changing schools.
E. Agreement:
The information you have provided will be used for Music & Arts purposes, but it may be used for other Council purposes, where this is permitted by law. The Council is registered under the Data Protection Act 1998 for these purposes. The Council is the Data Controller for the purposes of the Data Protection Act 1998. If you want to know more about the information we have about you, or the way we use your information, please write to the Council’s Data Protection Officer, Kings House, Grand Avenue, Hove.
F. Privacy Statement:
We take your privacy seriously and will only use your personal information to administer your account and to provide the products and services you have requested from us. To read our organisation’s full privacy statement please visit www.brightondome.org
G. Photography Statement
From time to time we may take photographs of activities to use, without names included, in printed publicity and on our website. In order to give your consent for your child’s photograph to be used in publicity please tick below. We consider parental consent to cover all pupils learning with us up to the age of 18.
Please tick to indicate your
agreement
I agree
Please note that photos are likely to be taken at events open to the public.
You can remove your consent at any point by emailing BHMA@brightondome.org
I understand that fees are payable in advance and will be invoiced at the beginning of each term. In the event of non payment a Final Demand will be sent followed by notification that my child may be withdrawn from lessons until payment is received.
I agree to the terms laid out in the Tuition Agreement and in Section E of the application. I am aware that Brighton & Hove Music & Arts reserves the right to review fees, terms and conditions periodically and without notice.
Copy of Please tick to indicate your
agreement
I agree
Where did you hear about us?
School recruitment
Music & Arts event
Recommended
Internet
Other
Twitter
Facebook
YouTube
For office use only:
Date application emailed to
teacher
Date application added to
database
Lesson start date
Date waiting list letter sent
Date hire agreement sent
Preview Submission
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