Upchurch Instrument Pick-Up Form
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Email *
Today's Date: *
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Student First & Last Name *
Parent/Guardian First & Last Name *
What instrument needs to be sent home for curbside pick-up? Please be specific. * Note: We will not be sending home recorders at this time. * *
Where is the location of your child's instrument? Classroom, band room, etc? *
Does your child have his/her name labeled on the outside of their instrument? *
Please use the Sign Up Genius to reserve a curbside pick-up time first. What is the date of your curbside pick-up? *
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What is the time of your curbside pick-up? *
Time
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By electronically signing, I agree that I give Upchurch Elementary consent to release my child's instrument back to me. Our family will be responsible for returning the instrument at a later date if it is borrowed.  **Electronically sign/type guardian's name below** *
Do you have any questions? Leave any questions or comments below.
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