BRENT MUSIC SERVICE Claremont High School, Claremont Avenue, Kenton, Middlesex, HA3 0UH Tel: 020-8204-8096 Fax: 020-8238-9649 E-mail: info@brentmusicservice.com Web:www.brentmusicservice.com BMS INSTRUMENT HIRE SCHEME – 2011-2012 This hire agreement is solely between Brent Music Service and the hirer and is independent of any school tuition fees. PLEASE NOTE: THIS FORM WILL NOT BE PROCESSED UNLESS ALL DETAILS HAVE BEEN COMPLETED AND RETURNED INCLUDING PAYMENT DIRECTLY TO THE BMS OFFICE. PLEASE USE A SEPARATE FORM FOR EACH CHILD. 1) Pupil Details (Please complete the form in BLOCK CAPITALS) First Name: Male/Female (Please delete) Surname: ________________________________________________________ Date of birth: __/__/__ Ethnicity:___________________________________ Parent/Carer’s Name:___________________________________________ ______________________________________________________ Address: ___________________________________________________________________________________________________________ Postcode: Parent Day Phone No: _____________________ Parent Evening:________________________ Parent Mobile: _______________________ School: Class: Yeargroup: Please tick if this instrument hire is for use at a Brent Music Service evening centre only 2) Hire Details and Fees Instrument required: _________________________________ Size*:________________________ sizes are required for Violins, Violas and ‘Cellos. Please check with your instrumental tutor. Half-term (if you begin hiring 1st week after half-term): £12.50 Full term: £25.00 Free School Meals: £5.00 (Proof of free school meals is required along with your hire form) Hiring charges are inclusive of holiday periods. --------------------------------------------------------------------------------------------------------------------------------------------------------Please read and sign the declaration below: By signing this agreement I/we accept the conditions of hire attached to this form. I/we understand that it is my/our responsibility to ensure that the instrument is returned to the school or BMS office when no longer required. Name of person hiring and whom the invoice should be sent to: Mr/Mrs/Miss/Other First Name:__________________________________________ Surname:____________________________________________________ Please sign:__________________________ Date:__________________ 1 PARENT COPY: Important Terms & Conditions of hire-Please retain for your information BMS INSTRUMENT HIRE SCHEME – 2011-2012 Claremont High School, Claremont Avenue, Kenton, Middlesex, HA3 0UH Tel: 020-8204-8096 Fax: 020-8238-9649 E-mail: info@brentmusicservice.com Web:www.brentmusicservice.com 3) BMS Conditions of hire 1) The instrument you are hiring remains the property of Brent Music Service at all times and is returnable at the request of Brent Music Service. 2) Instruments are hired on a termly basis including holidays, 3 terms a year. 3) The hire charges must be paid promptly upon receipt of the instrument hire invoice. Requests for payments are sent to your home address once each term after your initial order. (3 terms per year). Non payment of hire fees will result in instruments being recalled and any debt passed to credit control within Brent Council. 4) All instruments should be in good working condition when first hired. Repairs and maintenance will be undertaken by BMS free of charge. Instruments for repair should either be returned to the school or brought into the BMS office. A replacement instrument may be given for the duration of the repair. 5) BMS does not replace strings or reeds unless there is a fault with the instrument at the time of hiring 6) Every care should be taken to protect the instrument against loss or damage. The hire charge covers accidental damage but not for negligence, wilful damage, loss or theft. In the event of loss or damage you will be invoiced for the cost of a replacement instrument. The value of the instrument will be determined in line with current prices. 7) This instrument may not be transferred to any other person or sibling. 8) Please advise of any changes of address or if changing schools. 9) If you no longer require the instrument it should be returned directly to your child’s school or to the Brent Music Service office. If you return the instrument to the school please remember that it is your responsibility to contact BMS in order for the instrument to be collected and not the schools. Failure to inform BMS of the returned will result in continued charges for the hire. 10) Please complete the return slip below and should be kept as proof of return in the case of payment queries. ……………………………..…………………………………………………… ……………………………………………………………………………. BMS Instrument Return Slip Hirers Name: _________________________________________ Pupil’sName:_______________________________ Instrument No: _______________________________________ Date of Return: _____________________________ Returned To: ______________________________________________________ (NAME OF SCHOOL/BMS) I confirm that that the above instrument has been returned to School/BMS Signature of member of staff at school/BMS:______________________________________ Position: ____________________________ 2