Enrolment Agreement

Registration

By completing this form, you are providing us with your details for our Music Hubs.Tuition at our Music Hubs is open to learners aged 8-18 years (& 2nd class to Leaving Cert), with the exception of our Early Years class at Headford/Caherlistrane. Therefore this form should be completed by a parent/guardian of the participant.
Note: a copy of this document will automatically be sent to you by email when you click ‘submit’ at the end.
Student’s Details
Which of our Music Hubs is your child interested in attending? *
If the Music Hub you select above is full to capacity, would you like to be considered for another Hub (as a second choice)? If Yes, please select the Music Hub below (this is only as a secondary choice).*
Today's date*

DayMonthYear
Date
Which of our Music Hubs are you registering for?
Name of Participant/Child/Learner:*

First NameLast Name
Age: Please note our music hubs start from age 8 with the exception of our Early Years class in Headford/Caherlistrane Hub *
Date of Birth (mm/dd/yy):

MonthDayYear
Date
MaleFemaleNot Stated
Address*

Street Address

Street Address Line 2

City/TownCounty

EIRCODE
Note: Music Development Officers are requested (by Music Generation’s National Development Office) to provide a profile of those attending its programmes. These details include ratios of male/females, ages, where students come from etc
Parent/Guardian Details
Parent/Guardian name #1*

First NameLast Name
Mobile Number *
Alternative Number*
Email Address of parent or guardian*
Email
If another Parent/Guardian will also be corresponding with Music Generation’s Musician Educators (tutor) or our office, please provide details below.
Parent/Guardian name #2

First NameLast Name
Mobile Number
Alternative Number
Email Address of parent or guardian
Email
Music Profile
YesNo
If yes, please indicate the location (Venue, Town, School etc):*
When did the student start receiving tuition with Music Generation?*
When was the student's last class with Music Generation?*
Name of the student's tutor (Music Generation’s Musician Educator):
What instrument was the student receiving tuition in?
What instrument would the student like to learn during the 2023/24 season? (Note: the voice is considered an instrument also!)
BeginnerImproverAdvancedOther
If you answered 'other' to the previous question please give details below:
BeginnerImproverAdvanced
If you selected ‘improver’ or ‘advanced’, please provide details of the student’s music experience to date where the above instrument is concerned (time spent learning, any grades etc)
YesNoOther
If you answered 'other' to the previous question please give details below:
ACCESS TO INSTRUMENTS (If required)
YesNo
YesNo
If yes, please give details here:
Parental/Guardian Consent Form
Media Consent: I agree to my child’s image and/or recording being taken in rehearsal and/or performance to document music tuition/music workshops/music performances. These images/recordings may be used by Music Generation Galway County and trusted partner organisations (GRETB, Tusla, Foróige, Youth Work Ireland) for press and promotional purposes, including production of a short documentary film (should this arise), digital and social media marketing. Images/videos taken locally may be used for Music Generation national publicity and promotional activities for a period of up to 5 years. After 5years images/video will be retained for archival/research purposes only.*

I agreeI do not agree to the above
Emergency Medical and Contact Information
Please list any medical issues which we may need to be made aware of while your child is in our care. Child’s Allergies/Medical Information:
Medications your child is taking and that we should be aware of in the case of emergencies:
Name & number of persons (2) to be contacted in the case of an emergency
Name*
Phone Number*

08*123 4567
GuardianParentRelativeFamily Friend
Name*
Phone Number*

08*123 4567
GuardianParentRelativeFamily Friend
GENERAL UNDERSTANDING
Performance Music Eduction in Group Settings

Music Generation focuses on group lessons at its Music Hubs so parents/guardians should not expect 1:1 lessons although sometimes this may occur when new programmes are introduced for the first time or where certain less common or unique instruments/programmes are concerned.  
General

Dates/ Days/Times/Musician Educators (tutors) are subject to change, you will be notified by email or WhatsApp if there are changes.

Class Groupings
- Students are placed in classes with students of a similar standard, based on their age and on any prior experience as decided by Music Generation’s staff.
  Minimum student numbers are required for our Music Hubs and individual classes to take place or to continue on a long term basis.
- We operate on a first-come-first-served basis and prioritise spaces for those who have availed of our services in the past.
- Average classes sizes range from 3-6 students.
- The numbers of students within a class are set according to factors such as...ability, the instrument being taught, student age, the venue size, interest in a particular instrument. Decisions in this regard are at the discretion of Music Generation’s staff.
- Normal class times are 30 or 40 mins and again this may vary from one group to another, is dependent on a variety of factors and this is at the discretion of Music Generation’s staff.
Fees

The fee charged for particular classes may change as the numbers attending the class changes.

The Music Hub fees are as follows:
- €8 for classes where up to 6 students are in attendance.
- €5 for classes where 7 or more students are in attendance (in a larger room), normally as part of our Band Jam/ensemble work.
All fees are paid via our online payments system (Easy Payments Plus) at our website www.MusicGenerationGalwayCounty.ie
- Once provided with a link to pay, you are expected to pay within 10 days of the notice, otherwise the child may lose their place.
- Fees are non-refundable except in the cases of certified medical illness. The amount refunded is at the discretion of MGGCo.
- Classes missed by individual students will not be replaced or reimbursed by Music Generation.
- Music Generation does not accept cash or cheques.
  Payments are made per term and not per class (to avoid increased charges (per transaction) accruing to the parent/guardian.
You can choose to download our T&Cs here . They are also available at payment stage.

Note: By filling this form you are not guaranteed a place at our Music Hub. Availability must be confirmed first by our staff and then payment made.
I agree to all of the aboveI do not agree to all of the above
Any comment you wish to share
Permissions
DATA PROTECTION

Please note:This personal information will be processed and retained in accordance with the GRETB Data Protection Policy and Retention Schedule available on request by email to data.protection:@gretb.ie
YesNo
YesNo
I consentI do not consent
Signature*

Clear
POINT OF CONTACT: Music Generation Galway County office – Eric Cunningham (Music Development Officer), Email: musicgenerationgalway@gretb.ie Phone: 091 874557

THE BENEFITS OF MUSIC!

Numerous studies conclude that music and music education have a statistically significant impact on the wellbeing of participants. From increased self-esteem and social development to reduction in anxiety and depression, young people find that music can help them make steps towards improved mental health and wellbeing! There is transformational potential in young people through meaningful music-making, increasing cognitive growth and emotional intelligence by having music as a significant, personally expressive part of one’s life.
(By pressing submit you assert that you are the legal parent or guardian to the above named student)
Should be Empty:

Registration

Student’s Details

Parent/Guardian Details

Music Profile

ACCESS TO INSTRUMENTS (If required)

Parental/Guardian Consent Form

Emergency Medical and Contact Information

GENERAL UNDERSTANDING

Permissions