Part Two – Agreement between Instrumental Music Teacher and St Philomena’s Catholic High School for Girls Parents / Carers (Pupil Premium) 2020-2021
Part Two – Agreement between Instrumental Music Teacher and St Philomena’s Catholic High School for Girls Parents/Carers
Music instrument lessons taken on school premises:-
1. Parent/Carer submits a request for their daughter to learn a musical instrument with a request for part funding to Ms Lawson. If authorised, Mrs Waite (Head of Music), will arrange for the Parent/Carer’s contact details to be shared with the relevant Instrumental Music Teacher.

2. Upon contact with the Instrumental Music Teacher, Parent/Carer to inform the Instrumental teacher of Pupil Premium status.

3. It is the expectation that all students learning a musical instrument participate in at least one ensemble or group for performance at a school concert or recital evening, after a minimum of one year’s tuition or playing at Grade 2 and above.

4. It is the responsibility of the Parent/Carer and student to:-
Regularly consult the timetable sent to you from the Instrumental Music Teacher
Inform the Instrumental Music Teacher should there be an absence.
*Please note there will be no refund of fees.*
Respond to all reminders of payment
Check with curriculum teachers if an exam or assessment will affect music instrumental lessons and negotiate alternative arrangements with the Instrumental Music Teacher
5. It is the responsibility of the Instrumental Music Teacher to:-
Inform Parent/Carer if a lesson is missed without prior notification.
Provide a termly review informing Parent/Carer of the progress that students have made.

6. To discontinue an agreement, Parent/Carer will provide the school with a term’s notice in writing given to both the Head of Music, Mrs Waite, and the Instrumental Music Teacher.
Email *
APPENDIX A – Please complete this form which will then be forwarded to Mrs A Waite, Head of Music at St. Philomena’s School.
PUPIL PREMIUM TAUGHT MUSIC INSTRUMENT LESSONS SERVICE AGREEMENT
Student First Name: *
Student Surname: *
Student Form Group: *
Home address: *
Home telephone number: *
Parent's email: *
Parent's mobile number: *
Name of Peripatetic Music teacher - if 'no preference', please type this as your answer below. (Please refer to the list of available Peripatetic Music teachers and instruments available on the full agreement form) *
PLEASE TICK TO INDICATE YOUR CONSENT FOR MRS WAITE TO PASS YOUR CONTACT DETAILS TO THE RELEVENT PERIPATETIC MEMBER OF STAFF IN ORDER TO ARRANGE LESSONS FOR YOUR DAUGHTER *
Required
It is the responsibility of the Instrumental Teacher to:-
- Confirm receipt of a signed agreement from the student’s Parent/Carer.
- Construct and issue a timetable to be emailed to both the Head of Music and the student’s Parent/Carer.
- Maintain an accurate daily register which will be handed into Mrs Hensman (Attendance Officer) at the end of each day.
- Highlight to Parent/Carer if a student is absent for more than two consecutive lessons.
- Prepare students for music exams, should they so wish.
- Complete a termly review and submit to the Head of Department at the end of each term.
- Encourage all students to make a contribution to extra-curricular clubs and be involved in performance events.

It is the responsibility of the Parent/Carer and student to:-
- Regularly consult the timetable sent to you from the Instrumental Music Teacher.
- Inform the instrumental teacher should there be an absence. Please note that there will be no refund of fees.
- Respond to all reminders of payment.
- Check with curriculum teachers if an exam or assessment will affect music instrumental lessons and negotiate alternative arrangements with the Instrumental Music Teacher.
- Encourage your daughter to make a contribution to extra-curricular clubs and be involved in performance events.
-Notice must be given by half term to discontinue lessons at the end of that term. Parent/Carer will provide the instrumental teacher with this notice in writing.

Please give details of your daughter’s previous musical experience below: *
I have read and agree to the terms summarised above and would like my daughter to take lessons beginning in the:- *
Required
My daughter is part of the Pupil Premium Target Group (In this case, the request form will be passed onto Ms Lawson, Associate Assistant Headteacher responsible for priority groups, who will consider if a 50% part funding for lessons is available. *
Required
I / We request for part funding for Instrumental lessons and have chosen the following Payment Plan: (Please tick appropriate box below). Payments to be made via BACS please to the account detailed on the first page of the Music agreement form. PLEASE DO NOT MAKE ANY PAYMENTS TO THE SCHOOL UNTIL LESSONS HAVE BEEN AGREED AND CONFIRMED WITH THE PERIPATETIC MUSIC TEACHER. PLEASE ENSURE THE RELEVANT PAYMENT TO THE SCHOOL HAS BEEN MADE BEFORE THE FIRST LESSON COMMENCES. *
Required
I/ We have read and understood the above information.
Parent/Carer's name: *
Date: *
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PLEASE CHECK YOUR RESPONSES THEN SCROLL TO THE BOTTOM OF THE FORM AND CLICK SUBMIT.
*FOLLOWING INFORMATION FOR COMPLETION BY SCHOOL STAFF ONLY*
Instrumental Teacher's Name:
Date:
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Head of Music Department's Name:
Date:
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Authorisation Signature (Associate Assistant Headteacher for priority groups):
Date:
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Finance Dept signature:
Date:
MM
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Submit
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