2024-2025 Arlington HS Band Agreement for Loan of Musical Instrument

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If a school instrument is needed, please complete this form. By completing this form, you are agreeing to pay the usage fee of $50 for one instrument and $75 for two instruments or percussion per school year. No instrument will be issued until payment has been received. Please bring payment to New Member Camp, July 9th or to Band Camp, July 15th.

Student's Name *

Parent/Guardian Name *

Address *

Phone number *

Instrument for Rental (include all instruments for rental) *

Instrument Serial Number (enter "not known" if you don't have your instrument yet) *

Instrument Bar Code Number (enter "not known" if you don't have your instrument yet) *

Please list any damage to your instrument or case when you received the instrument. *

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