School Application for Instrument Hire Please use this form to request instrument hire for either general use at your school or for individual pupils. The criteria is as follows:- Instrument hire is £33.00 per instrument, per term. The school will be invoiced for the instrument hire fee at the end of each term until Severn Arts is notified to cancel the hire. If you are ordering more than one type of instrument, please use a separate order form for each instrument. Shoulder rests, replacement reeds and strings, and other accessories and expendables are not included in the hire fee. As hirer you are responsible for replacing these items. Your instrument hire order form is not linked to school lessons and therefore needs to be cancelled separately using our online cancellation form We advise you to keep a careful record of the instrument/s if they are being sent home with a pupil - There is a unique instrument reference ID number both on the case tag and the instrument itself to help with this. School/pupil detailsSchool name* School contact name* School contact email address* Is this instrument for a specific pupil?* Yes No Pupil name* First Last Date of Birth* DD slash MM slash YYYY Instrument DetailsInstrument required*Please note that we do not hire guitars, drums or keyboards.Baritone HornBassoonCelloClarinetCornetDouble BassFluteFrench HornOboeSaxophoneTenor HornTromboneTrumpetTubaViolaViolinViolin/Viola size*Please either enter the size of violin/viola required (If known) or the child's arm length: This is the child's left arm in cm, from the armpit to the tip of the middle finger so that we can assign the correct size - Please enter a size between 38 - 64cm Cello/Double Bass size*Please either enter the size of cello/viola required (If known) or enter the child's height in cm so that we can assign the correct size Hire fee/quantityPlease enter the total number of instruments required, as selected above. Price: £ 33.00 Quantity: Total hire amount per term £ 0.00 Special instrument requirementsAs advised by music teacher (e.g. curved-head flute, short-reach bassoon). Preferred delivery*Please indicate when you require your instrument to be delivered.ASAP (please allow two weeks after payment)Beginning of next termHire feeInstrument hire is £33.00 per instrument, per term and will be invoiced to the school at the end of each term. Price: Invoicing/payment to schoolInstrument hire is £33.00 per instrument, per term and will be invoiced to the school at the end of each term.Finance contact name(If the contact name is different from the first section) Finance email addressPlease state the email address to send the hire invoice to if different from the first section. Invoice address* Street Address City County / State / Region ZIP / Postal Code Terms and conditionsOur school (named on this form) agrees to take financial responsibility for the instrument(s) hired from Severn Arts until the hire is cancelled by us and the instrument(s) is/are returned to Severn Arts.* Confirm We agree to the Severn Arts School Instrument Hire Terms and Conditions and Price List*Terms and Conditions Confirm