Emergency COVID-19 Fund Application

Application for COVID-19 Emergency Fund

Closing Date for Applications: 30 June 2021
Thank you for your interest in the COVID-19 Emergency Fund, which has been established to support LSG members who find themselves unable to afford music lessons for their child(ren). All applicants must be a current LSG member in good standing.

Your information will be passed to the Trustees for consideration, but with otherwise remain confidential. Please be aware that your child’s teacher will be contacted to ensure that lessons and practice are currently in order, but no information about your personal circumstances will be shared.

Decisions will be made expeditiously.
Parent Applicant *

First Name Last Name
E-mail *
Mobile Phone Number *
LSG Membership No: *
If you do not know your number, please write UNKNOWN
Please give details of the child/children who are in need of assistance
Child 1 *

First Name Last Name
Teacher's name *

First Name Last Name
Teacher's email *
example@example.com
Do you wish to apply for assistance for another child? *

Yes No
Child 2 *

First Name Last Name
Child 2 Teacher's name *

First Name Last Name
Child 2 Teacher's email *
example@example.com
Do you wish to apply for assistance for another child? *

Yes No
Child 3 *

First Name Last Name
Child 3 Teacher's name *

First Name Last Name
Child 3 Teacher's email *
example@example.com
Reason for request of emergency grant *
I represent and agree that:
I am a fully paid up member of the London Suzuki Group. *

Yes
My LSG membership will remain active and paid until at least 30 September 2021. *

Yes
My child(ren) will attend (via video link) private and group lessons as requested by the teacher. *

Yes
My child(ren) will attend (via video link) performances as requested by the teacher. *

Yes
If my circumstances improve, or if lessons are no longer needed, the grant money will be repaid on a pro-rated basis. *

Yes
The LSG Trustees will ask my child's teacher for a confidential report of their commitment and may ask for an update at any time. *

Yes
All statements made on this form are true to the best of my knowledge. *

Yes
Should be Empty:

Application for COVID-19 Emergency Fund