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2020-2021 School Instrument Check out
Please fill this out when checking out a school instrument
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Email
*
Your email
Student First and Last Name
*
Your answer
Student Email
*
Your answer
What school do you attend?
*
Chavez
Jefferson
King
Lincoln
North Terrace
Santa Margarita
Stuart Mesa
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Email
*
Your answer
Home Address
*
Your answer
What Instrument
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Your answer
What number is on your case?
Your answer
Is there anything broken or wrong with your instrument right now?
*
Your answer
Please list all accessories that are included with your instrument (neck strap, cleaning rod, etc.):
*
Your answer
I agree to pay for any damages (and missing accessories) incurred during the rental period up to the entire replacement cost of the instrument
*
Yes
No
Send me a copy of my responses.
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