INSTRUMENTAL MUSIC ENROLMENT FORM

Please accurately complete all of the details as soon as possible. You will not be able to participate in your instrumental lessons beyond this date if this form has not been completed.

The information you provide will be use to keep you informed of important dates, permission letters and events.

An invoice will be sent to families upon submission of this form.

STUDENT DETAILS

Student Legal Name *

Student Family Name *

Year level *

Instrument type *

BrassPercussionStringsWoodwind

Woodwind instrument selection *

Strings instrument selection *

Percussion instrument selection *

Brass instrument selection *

PARENT/GUARDIAN DETAILS

Parent Legal Name *

Parent Family Name *

Please enter the email address you would like to use for saving your progress on this form *

INSTRUMENT AND HIRE DETAILS

Hire option *

We DO NOT wish to hire an instrument from the school – we own our own instrument. We DO wish to hire and instrument from the school and agree to the fee involved (see schedule of levy).

Hire agreement

A separate hire agreement from (EQ11) will be provided after this form has been return. This must be signed and returned for students to take an instrument home.

Schedule of IM levy

All IM students are invoiced the Administration Charge. This covers the cost of sheet music, printing, loan of an IM folder, and loan of IM uniform. IM levy- $100 per student. Please note that 2024 IM levy is non-refundable. Further information can be found on the SRS document on the school website.

An additional $100 Instrument Hire levy is applied if you wish to hire an instrument for the school year.

INSTRUMENTAL MUSIC EXPECTATIONS

At Springfield Central SHS, we Scale Great Heights in all we do. As a member of the Instrumental Music program, very high standards of commitment, organisation and reliability are required of each student.

Student agreement:

Maintain regular practice.
Punctual attendance at weekly lessons, rehearsals and other scheduled events.
Participation in an appropriate ensemble, as designated by the Instrumental Teacher.
Participation in all concerts, performances and camps.
Develop a supportive attitude to other students in lessons and ensembles.
Wear the complete performance uniform, including correct shoes and socks.
Take all due care and responsibility for school instruments and property.
Maintain a neat and accurate Music folder of sheet music, clearly labelled with their name inside.
Remain in the IM program for the duration of the school year.

Parent/Guardian agreement:

Provision of suitable instrument for your child if required.
Payment of IM levies ($100) or p ayment of IM levies ($100) and hiring fees ($100) as determined by the school (IM levies are non-refundable).
Show due interest in your child’s music studies.
Provide appropriate space and opportunities for practice at home.
Provide safe storage at home for instrument.
Keep instrument in good repair, or pay for damage caused by negligence to school instrument.
Contact the HOD of Arts if hired instrument is in need of repair.
Complete permission forms promptly on Qparent.

PARTICIPATION IN INSTRUMENTAL MUSIC PROGRAM AGREEMENT

We, the undersigned, have read the above and accept the commitment and responsibility involved in being a member of the Instrumental Music Program at Springfield Central State High School for the relevant year.

Parent/Guardian signature *

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Date *

Student signature *

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Date

By submitting this form, Springfield Central State High School agrees to the terms of this agreement as of the date and time of submission.