School Instrument Check-Out Form
Please complete the fields below and click "Submit".
We cannot issue a school-owned instrument until this form is submitted.
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Student First Name *
Student Last Name *
Grade Level *
Instrument *
If you selected "OTHER", please type the instrument below.
Parent/Guardian Name *
Home Address *
Phone Number *
1. I agree to be personally responsible for the safe-keeping of this instrument and return it immediately to the school upon request of the director or principal. *
Required
2. I agree to maintain the instrument in good condition at all times including having it repaired as deemed necessary and as requested by the director. (Any repairs which are to be paid by the school must be handled by the band or orchestra director.) *
Required
3. I agree to have the instrument assessed by the teacher at the end of the contract period and pay a fair assessment for all damage in excess of normal wear and tear. *
Required
4. I agree to allow no person other than myself to play, handle, or use this instrument without specific permission of the director. *
Required
5. I agree to use the instrument in the best of my ability for serious study including regular attendance at all organizational rehearsals and performances,  regular home practice and additional instruction and study when possible. *
Required
Thank you!  We'll issue your child's school instrument shortly.  Once issued, they can play it at school and home.
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