Music Centres Application Form

I wish to apply for Music Centre Membership

Pupil's Details:

First Name

Last Name

Date of Birth

Gender

School/College

Parent/Carer Details:

Title

Name

Address

Telephone Number 1
home, office or mobile

Telephone Number 2
home, office or mobile

Email

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

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Music Centre Membership:

• Junior Music Centre membership: £78.50 per term
• Senior Music Centre membership: £89.00 per term
• Brighton Youth Orchestra: £115 per term
• Children's Music Workshop: £50.00 per term
• Choir membership only: £42.00 per term

Full Music Centre membership enables young musicians to attend any appropriate classes and ensembles and is open to musicians up to 18 years of age. If you are already receiving a subsidy for your BHMA instrumental lessons, this will automatically be applied to Music Centre membership. If your child is registering with Music & Arts for the first time a £5 Registration Fee will be payable. Music Centre subscriptions will be invoiced at the beginning of each term and payments can be made online with a debit card at www.bhma.org.uk using your invoice number as a reference. If you are having trouble paying the fees let us know and we will help if we can. If your child is unable to attend four or more consecutive classes due to illness please contact us as we may be able to credit your account

Senior Music Centre Membership applies to:
Brighton & Hove Youth Philharmonia
Brighton & Hove Youth Wind Orchestra (formally Concert Band)
Brighton & Hove Youth Big Band
Brighton & Hove Youth Percussion Ensemble

Please tick if you are already registered in the Subsidised Tuition Scheme

Yes‎

Please contact your child’s tutor if necessary to make sure they are of the appropriate standard for the application you are making. Music & Arts teachers can be emailed directly – their addresses are on our website under ‘Meet the Team’.

Please choose which activity you are applying for:

If you are applying for two Music Centre activities for your child, please select the second one here:

Details of relevant experience if required:

Instrument played

For how long

Approx standard

Instrumental teacher name

Additional information: (Choral, orchestral, ensemble experience, theory/practical exam results etc)

Adult Concert Band

Please contact Brighton & Hove Music & Arts if you wish to apply for membership of the Adult Concert Band. Fees are £89.00 per term and if you are registering with Music & Arts for the first time, a £5 Registration Fee will be payable.

Subsidised Tuition Scheme:

Supporting documents are not required if you are already registered in the Subsidised Tuition Scheme.

100% Subsidies for Looked After Children

I wish to apply for 100% subsidy as the application is for a Looked After Child (in care)

Yes‎

70% Subsidies (see below for Tax Credit related subsidies)

I wish to apply for 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:
You can upload a scan or photograph of the required pages from your benefit award here:

Supporting documents are not required if you are already registered in the Subsidised Tuition Scheme.

Front page of benefit award
letter

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For ESA & JSA only please upload the page which
shows benefit is Income Based

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Tax Credit Subsidies
70% Child Tax Credit subsidy
30% Working Tax Credit subsidy

I wish to apply for an 70%
Child Tax Credit
subsidy because I receive:

Child Tax Credit with entitlement to free
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%
Working Tax Credit subsidy
because I receive:

Working Tax Credit with entitlement to the maximum available – where the reduction due to your income in “Part 2: How we work out your tax credits”, is zero.‎

File Upload for Tax Credit subsidies:
You can attach a scan or photograph of the required pages from your 2019-2020 Tax Credit Award here:

Tax Credit Award front cover

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The page which gives details of your household earned income

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Part 2 which shows how your
Working Tax Credit is calculated
if you receive it

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Universal Credit

If you are in receipt of Universal Credit, please forward your monthly emailed statement to bhma@brightondome.org and we will be able to advise you if you are eligible for any of our subsidies.

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 three pages of your 2019-2020 Tax Credit Award.

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Membership Agreement:

Information you have provided will be used for Music & Arts purposes only. However, you may from time to time receive relevant information about music and family events at Brighton Dome & Brighton Festival.

If you do not wish to receive this please tick here

I do not wish to receive event information from Brighton Dome & Brighton Festival‎

Information you have provided will be used for Music & Arts purposes only. However, you may from time to time receive relevant information about music and family events at Brighton Dome & Brighton Festival.

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

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

As a registered charity, Brighton & Hove Music & Arts (part of Brighton Dome and Brighton Festival) is able to benefit from Gift Aid on membership subscriptions for music centre activities. Gift Aid provides vital additional funds for charities, and it costs you nothing extra to allow BHMA to claim it. If you are a UK taxpayer you could increase the value of your subscription at no cost to you. By agreeing to Gift Aid we can claim 25p for every £1 of the membership cost/fee from HM Revenue and Customs.

All of the tax relief from Gift Aid will go directly back into Brighton & Hove Music & Arts to provide even more music-making opportunities for young musicians in the city.

Please treat as Gift Aid donations all qualifying subscriptions I have ever made or will make to Brighton & Hove Music & Arts /BDBF until further notice

Please tick to confirm

I agree

I am a UK taxpayer and I can confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that Brighton & Hove Music & Arts/ BDBF will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that BHMA/BDBF will reclaim 25p of tax on every £1 that I give.

Please tick to confirm

I agree

Please notify BHMA/BDBF if you: want to cancel this declaration; change your name or home address; no longer pay sufficient tax on your income and/or capital gains.

In accordance with the 1998 Data Protection Act and the Privacy and Electronic Communications Regulations 2003, and from May 25th 2018, the General Data Protection regulation (GDPR) 2018, BHMA/BDBF will hold your details for administrative purposes and to provide you with updates about our work and how you are helping us change lives through music.

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Your Contract:

If you wish to end your membership, we request that you notify us by

28th February: 7th June; 8th November for tuition to cease in the following term.

Notice to withdraw must be given by email to bhma@brightondome.org. If we do not receive notice by these dates, half a term’s fees will be payable in lieu of notice. Once lessons have been attended in any one term the full term’s fee is payable. Lessons are offered during examination periods and study leave.

Lessons will continue to be provided until notification of withdrawal is received. This applies even if your child is changing school e.g.from Primary to Secondary school, as arrangements are made to support transition.

I agree to the terms laid out in this application form. 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 activities until payment is received. Because of the administration involved, if my child withdraws before tuition begins I understand that 20% of the first term’s fee plus the registration fee will be charged. I am aware that Brighton & Hove Music & Arts reserves the right to review fees, terms and conditions periodically and without notice.

I understand that membership will roll over

Agree‎

Please tick to indicate your
agreement to our terms & conditions

Agree‎

For office use only:

Date pupil added to register

Date application added to
database

Date acceptance letter and
rehearsal dates sent

Date audition letter sent
(if required)

Audition date and time

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