Council House, Priory Road, Dudley, West Midlands, DY1 1HF
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Dudley Performing Arts

Music Exam Entry Form 2018

This form can be used to confirm that you wish to order and pay for a single Music Examination for a student.

Please only provide details for one student and for one examination. You will be able to add options for accompaniment and for a run through if you require these.

If you wish to order and pay for more than one examination then please complete and upload a separate form, making the necessary payment for each of them.

We recommend that you keep a copy of your completed form(s) for your records.

OnlineMusic Examination Entry Form:
You can upload your completed form and make your debit/credit card payment by using the same link on our Website that you used when you downloaded it.

Please note that all information in the following form marked with *
must be completed.

Paying the Exam and related Fee(s)

You will need to add up the total fees payable for the examination identified on this form – please check that you have added this up correctly.

When you go online to upload your completed form you will be asked to enter the amount that you wish to pay – again please take care to enter the correct amount.

Once your form has uploaded you will then be asked to pay the amount you have entered – please have your debit or credit card ready.

Data Protection Statement

Your information will be processed in accordance with Data Protection legal requirements. Please see the Council's Privacy Statement and Charter

  1. Parent / Guardian details:*

We need your contact phone number so that we can advise you of any last minute changes.

Parent / Guardian Name:
Contact phone number:
E-mail address (optional):
Address & postcode:
  1. Student’s details:*

First name:
Last name:
Date of Birth:
(Date of birth must be between 5-25)
Gender: / Male / Female
Name of their school, college or DPA location:
  1. Exam details:*

The above named student MUST have been recommended for this exam by their teacher and the teacher must provide you with an exam code. They will also have indicated to you whether a run through and/or accompaniment is required.

Please use the comments box to provide any other information, for example, if the student has any special needs, or details of any times that they are not available, such as if on holiday or taking another exam.

Instrument:
Teacher:
Exam code:
(Must be entered).
Run through required: / YES / NO
Accompaniment required: / YES / NO
Any other comments:
  1. Agreement to Terms and Conditions:*

Dudley Performing Arts is acting as an intermediary. The agreement you enter into is with the exam board. We are there bound by the rules of each exam board.

General terms and conditions

  • Exam times and dates and all other exam information including run-through schedules will be communicated to you using the email address you provide on this form.
  • Accompanists are a compulsory requirement for most exams and your teacher will advise if required.
  • The exam board fixes exam dates and times and changes can only be made through the boards. The examination boards make a charge for changing exam times.
  • Student transport and arrangements for missing school time are the responsibility of parents. The overwhelming majority of sessions take place during the school day at Netherton Arts Centre (NB does not apply to Music Medals, Theory exams & London College exams).
  • Exam fees are not refundable. However if you cancel your exam on medical grounds you may, on production of a Doctor’s note, be able to claim a credit note for up to 50% of your fee towards re-entry by applying direct to the relevant board.
  • DPA is acting as an intermediary between parents and exam boards and cannot be held accountable for complaints relating to the conduct of examination staff or the outcome from the exam.
  • By entering for an exam, you agree to these conditions and those stipulated by the board (Full Terms and Conditions are available from the exam boards.
  • Music Medals Examinations Only – By agreeing for your child to undertake a Music Medal Examination you understand that Music Medals assessments are carried out via a video recording that will be taken of your child. This is a key component of the Medals assessment and completion of the assessment is not possible without the video being taken. The main purpose of the video recording is the moderation of the assessment by the Associated Board of the Royal Schools of Music (ABRSM). Video recording may also be used for the purposes of quality assurance and to use a Music Medals training material. Copyright of the video recording of Music Medals assessments passes to ABRSM.

*Please mark below to confirm that you agree to this statement: / I have read and understood all of the General Terms and Conditions relating to Music Examinations.
  1. Exam Options and Fees:*

Please clearly mark which exam you require in the list below. There will be a fee for the exam and for any Run through and/or Accompaniment that you require.

Please total the amount for the selected exam and for the Run through and Accompaniment (as appropriate) and note the total in the fees column, and at the end of this document.

Please select ONLY ONE Examination option from the list below
Associated Board of the Royal Schools of Music (ABRSM)
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through Fee
(if required) / Accompaniment Fee
(if required) / Total Fee
£.p
Practical - Prep Test / £36.00 / + £9.00 / + £9.00 / .
Practical - Grade 1 / £40.00
Practical - Grade 2 / £45.00
Practical - Grade 3 / £52.00
Practical - Grade 4 / £58.00
Practical - Grade 5 / £62.00 / + £12.00 / + £12.00 / .
Practical - Grade 6 / £72.00
Practical - Grade 7 / £78.00 / + £16.00 / + £16.00 / .
Practical - Grade 8 / £91.00
Practical - Jazz - Grade 1 / £40.00 / + £9.00 / + £9.00 / .
Practical - Jazz - Grade 2 / £45.00
Practical - Jazz - Grade 3 / £52.00
Practical - Jazz - Grade 4 / £58.00
Practical - Jazz - Grade 5 / £62.00 / + £12.00 / + £12.00 / .
Theory - Grade 1 / £27.00 / Not applicable / Not applicable / .
Theory - Grade 2 / £29.00
Theory - Grade 3 / £32.00
Theory - Grade 4 / £34.00
Theory - Grade 5 / £37.00
Theory - Grade 6 / £41.00
Theory - Grade 7 / £44.00
Theory - Grade 8 / £44.00

Continued...

ABRSM Music Medals
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through
Not Applicable / Accompaniment
Not Applicable / Total Fee
£.p
Music Medal - Copper / £12.00 / Not applicable / Not applicable / .
Music Medal - Bronze / £16.00
Music Medal - Silver / £21.00
Music Medal - Gold / £25.00
Music Medal - Platinum / £30.00
London College of Music(LCM)
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through Fee
(if required) / Accompaniment Fee
(if required) / Total Fee
£.p
Practical - Grade 1 / £44.00 / +£9.00 / +£9.00 / .
Practical - Grade 2 / £50.00
Practical - Grade 3 / £55.00
Practical - Grade 4 / £59.00
Practical - Grade 5 / £65.00 / +£12.00 / +£12.00 / .
Practical - Grade 6 / £75.00
Practical - Grade 7 / £82.00 / +£16.00 / +£16.00 / .
Practical - Grade 8 / £94.00
Practical - Musical Theatre-Grade 1 / £44.00 / +£9.00 / +£9.00 / .
Practical - Musical Theatre-Grade 2 / £50.00
Practical - Musical Theatre-Grade 3 / £55.00
Practical - Musical Theatre-Grade 4 / £59.00
Practical - Musical Theatre-Grade 5 / £65.00 / +£12.00 / +£12.00 / .
Practical - Musical Theatre-Grade 6 / £75.00
Practical - Musical Theatre-Grade 7 / £82.00 / +£16.00 / +£16.00 / .
Practical - Musical Theatre-Grade 8 / £94.00
Practical - Pop Vocals - Grade 1 / £44.00 / +£9.00 / +£9.00 / .
Practical - Pop Vocals - Grade 2 / £50.00
Practical - Pop Vocals - Grade 3 / £55.00
Practical - Pop Vocals - Grade 4 / £59.00
Practical - Pop Vocals - Grade 5 / £65.00 / +£12.00 / +£12.00 / .
Practical - Pop Vocals - Grade 6 / £75.00
London College of Music(LCM)
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through Fee
(if required) / Accompaniment Fee
(if required) / Total Fee
£.p
Practical - Pop Vocals - Grade 7 / £82.00 / +£16.00 / +£16.00 / .
Practical - Pop Vocals - Grade 8 / £94.00
Theory - Grade 5 / £37.00 / n/a / n/a / .
Vocal Duet - Grade 1 / £22.00 / +£4.00 / +£4.00 / .
Vocal Duet - Grade 2 / £25.00
Vocal Duet - Grade 3 / £27.50
Vocal Duet - Grade 4 / £29.50
Vocal Duet - Grade 5 / £32.50 / +£5.00 / +£5.00 / .
Vocal Duet - Grade 6 / £37.50
Vocal Duet - Grade 7 / £41.00 / +£7.00 / +£7.00 / .
Vocal Duet - Grade 8 / £47.00
Rockschool(RSL)
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through Fee
(if required) / Accompaniment Fee
(if required) / Total Fee
£.p
Performance Certificate - Premiere / £34.00 / +£9.00 / +£9.00 / .
Performance Certificate - Debut / £38.00
Performance Certificate - Grade 1 / £43.00
Performance Certificate - Grade 2 / £48.00
Performance Certificate - Grade 3 / £55.00
Performance Certificate - Grade 4 / £60.00
Performance Certificate - Grade 5 / £66.00 / +£12.00 / +£12.00 / .
Performance Certificate - Grade 6 / £75.00
Performance Certificate - Grade 7 / £80.00 / +£16.00 / +£16.00 / .
Performance Certificate - Grade 8 / £92.00
Practical - Premiere / £34.00 / +£9.00 / +£9.00 / .
Practical – Debut / £38.00
Practical - Grade 1 / £43.00
Practical - Grade 2 / £48.00
Practical - Grade 3 / £55.00
Practical - Grade 4 / £60.00
Practical - Grade 5 / £66.00 / +£12.00 / +£12.00 / .
Practical - Grade 6 / £75.00 / .
Practical - Grade 7 / £80.00 / +£16.00 / +£16.00 / .
Practical - Grade 8 / £92.00
TRINITYCOLLEGE
Available Exams & Grades / Indicate Exam Required / Exam
Fee / Run
Through Fee
(if required) / Accompaniment Fee
(if required) / Total Fee
£.p
Practical - Initial / £37.50 / +£9.00 / +£9.00 / .
Practical - Foundation Certificate / £59.00 / +£16.00 / +£16.00 / .
Practical - Intermediate Certificate / £78.50
Practical - Advanced Certificate / £103.00
Practical - Grade 1 / £42.50 / +£9.00 / +£9.00 / .
Practical - Grade 2 / £47.50
Practical - Grade 3 / £52.50
Practical - Grade 4 / £60.00
Practical - Grade 5 / £67.50 / +£12.00 / +£12.00 / .
Practical - Grade 6 / £75.00
Practical - Grade 7 / £82.50 / +£16.00 / +£16.00 / .
Practical - Grade 8 / £95.00
Practical - Jazz - Grade 1 / £42.50 / +£9.00 / +£9.00 / .
Practical - Jazz - Grade 2 / £47.50
Practical - Jazz - Grade 3 / £52.50
Practical - Jazz - Grade 4 / £60.00
Practical - Jazz - Grade 5 / £67.50 / +£12.00 / +£12.00 / .
Practical - Jazz - Grade 6 / £75.00
Practical - Jazz - Grade 7 / £82.50 / +£16.00 / +£16.00 / .
Practical - Jazz - Grade 8 / £95.00
Practical - Jazz - Initial / £35.00 / +£9.00 / +£9.00 / .
Theory - Grade 5 / £37.00 / n/a / n/a / .
Please enter the overall Total Fees (£.p)to pay here: / .

Please follow the instructions on the first page to upload your completed form
and to make the necessary payment.

DPA Music Examination EntryForm 2018

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