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INSTRUMENTAL TUITION APPLICATION FORM
Please complete one form per child.
Fields marked with * are compulsory.
PARENT/GUARDIAN DETAILS
Name
*
First
Last
House/Flat number
*
Road
*
Town
*
County
*
Postcode
*
Home Phone
*
Mobile Phone
*
Email
CHILD'S DETAILS
Name
*
First
Last
My child is
Male
Female
Date of Birth
*
/
DD
/
MM
YYYY
Child's School
*
Does your child have special educational needs?
*
Yes
No
If yes please give more detail.
REQUEST FOR TUITION
Please ensure the instrument you are applying for is available at your child's school/chosen centre. Details are listed under the Choosing an Instrument/Our Music Centres sections.
If you are applying for Music Makers please write “Music Makers” in the Instrument field
INSTRUMENT 1
*
Previous experience in requested instrument?
*
Yes
No
If yes, how many years of experience?
INSTRUMENT 2 (if needed)
Previous experience in requested instrument?
Yes
No
If yes, how many years of experience?
INSTRUMENT 3 (if needed)
Previous experience in requested instrument?
Yes
No
If yes, how many years of experience?
LOCATION for tuition
*
Child's school
RMT Briar Road Music Centre
RMT Midweek Centre
RMT Saturday Centre
RMT Sheen Centre
FEE REMISSION
Will you be seeking assistance with fees? Remission is available for those in receipt of Income Support, Job Seekers Allowance, Housing Benefit, Council Tax Rebate or Free school meals.
Yes
No
TERMS and CONDITIONS
Parents/guardians and pupils are subject to the terms and conditions as laid down by the Richmond Music Trust as detailed below, and agree to abide by these terms and conditions. The Trustees of the Trust reserve the right to alter the terms and conditions if necessary.
The Trust reserves the right to change teaching personnel, venue, lesson times and pupil groupings where necessary and to notify parents of changes where possible.
Payment for lessons and/or membership of activities is required termly in advance. The invoice must be settled within 14 days to ensure tuition/membership. Failure to pay the invoice will automatically cancel the tuition/membership.
The Trust requires notice in writing half a term before you would like tuition to stop. We reserve the right to charge half a term’s fees in lieu of notice if this requirement is not met.
When a member of our teaching staff is absent, every effort will be made to ensure that the missed lesson is made up. In some circumstances, the lesson may be made up the following term. The Trust is only liable for instrumental lessons/activities missed as a result of the absence of a Trust teacher.
RMT teachers reserve the right to group pupils according to their ability. When groupings change and it becomes necessary to transfer a pupil from group to individual or vice versa, the appropriate increase in tuition fees (or refund) will be processed as soon as possible by the Trust.
The Trust reserves the right to discontinue tuition/activity where a pupil's progress, effort, attendance or behaviour is unsatisfactory.
In most cases it will be necessary for parents/guardians to make their own arrangements for obtaining an instrument for their child to practise on. It will also be necessary to purchase music. Our page on buying/hiring an instrument contains further information.
Submitting this form indicates that you have read and agree to the terms and conditions above
*
I agree
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