Monthly ReportingPlease complete the form below and when finished, press the green submit button.Your DetailsYour Name* First Last Your Registered Business Address* Street Address City ZIP / Postal Code Work Email Address* Landline Phone Number (if available)Mobile Phone Number*Emergency Contact DetailsPlease leave the name and contact details of your emergency contacts if you wish to below.Which Month Are You Reporting For?*Which Year Are You Reporting For?*Your Territory*What Is Your Current Standard Class Fee?*What Is Your Current Management Fee? (Standard Class Fee x 1.97)*Your Weekly ClassesPlease tell us how many classes you ran in total during this reporting period.DO NOT include any nursery sessions in this section. DO NOT include any 'Grace Period' classesMonday Classes*No. of weeksTotal no. classes runTotal MF for MonTuesday Classes*No. of weeksTotal no. classes runTotal MF for TuesWednesday Classes*No. of weeksTotal no. classes runTotal MF for WedThursday Classes*No. of weeksTotal no. classes runTotal MF for ThursFriday Classes*No. of weeksTotal no. classes runTotal MF for FriSaturday Classes*No. of weeksTotal no. classes runTotal MF for SatSunday Classes*No. of weeksTotal no. classes runTotal MF for SunSUB TOTAL A - Please enter the total Management Fee for all of the above weekly classes.*Nursery and Early Years SettingsPlease use this section to tell us about any sessions you ran during this reporting period in any Early Years Settings. Include ONLY those sessions where you charge for your service.Have you ran any sessions in Early Years Settings for this reporting period?*NoYesIf 'Yes', please list the names of these settings belowSUB TOTAL B - Please enter the total Management Fee owed for all of the above sessions. To calculate this, multiply the total figure charged to all settings by 14%. E.G if the total amount billed by you for this reporting period is £100 then calculate 14% of £100 (£14.00)Birthday PartiesIf you have run any birthday parties this month, please tell us how many below.Attendance Figures For This Reporting PeriodPlease tell us approx. how many children attended your classes for this reporting period.*Weekly ClassesEarly Years SessionsOther Just calculate as closely as you can. Include children attending for free if you have this information easily to hand.Class LeadersUse this section to tell us about any employees who have worked for you during this reporting period. Include everyone, even if they have only worked for you on a temporary or ad hoc basis.Have any Class Leaders Worked For You During This Reporting Period?*NoYesIf You Have Answered 'Yes' Above, Please List Their Names BelowPublic Liability InsuranceAre You Currently Covered By PLI?*YesNoDoes The Above Insurance Also Include Employers Liability Insurance?*NoYesPlease Tell Us The Name Of Your Current Insurer.*Total Management Fee OwedPlease Tell Us The Total Management Fee Owed For This Reporting Period. (add together SUB TOTAL A and SUB TOTAL B from above).*Please Tell Us On Which Date Your Management Fee Will Be Paid* Date Format: DD slash MM slash YYYY Fees are due by the 10th day of the month which follows this reporting period.* I agree to pay the total fee owed by the due date above.Our preferred payment method is via BACS/Bank Transfer. If you wish to pay by any other method then this must be agreed with us prior to the due date. Please note: we are unable to accept cheque payments. Music Bugs Ltd Cooperative Bank 08-92-50 70851263 Please quote your full name followed by 'MF' as reference. e.g Jack Spratt MFCertificationLegal Declaration* By submitting this form, I certify that the above information is correct and complete to the best of my knowledge. CommentsIf you have any questions or comments relating to this form then please include in the space above and we will get back to you as soon as we can 🙂Once the form is completed, please press the green SUBMIT button below. Thank you x This iframe contains the logic required to handle Ajax powered Gravity Forms.