2020 Summer MWSA Instrument Rental

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Student's Full Name: *

Parent/Guardian: *

Mailing Address:

Home Phone: *

Work/Cell Phone:

Email: *

School Attending: *

Grade (Just Finished):

4th

5th

6th

Clear selection

Year in Orchestra (Just Finished):

1st

2nd

Clear selection

Instrument: *

Instrument Size: *

1/4

1/2 (12'' viola)

3/4 (13" viola)

4/4 (14" viola)

15" viola

Not sure

Serial Number (located inside the instrument): *

MWSA Number (located under the fingerboard): *

Is the instrument in good condition? If not, what needs to be addressed? *

Are all items that belong with the instrument included? *

Bow

Rosin

Endpin Strap - Basses and Cellos only

Required

Please read our Instrument Care and Agreement Form. After reading, please enter Parent's/Guardian's full name and today's date in the box below. This will serve as your Electronic Signature. *

https://drive.google.com/file/d/1_l-RZ5H5NEm4GZQACUBmhNHMWA88yXhb/view?usp=sharing

Summer rental cost is $40. Payment options are: *

Mail a Check to: Mountain West String Academy PO Box 203 Mendon, UT 84325

PayPal (click on the donation button on our website). This option will add $2 to the rental cost. Please enter student's name and school in the comments to ensure proper credit to your account.

Just a reminder, our instrument returns/ recheck out dates for the 2020/2021 school year will be AUGUST 14 (6-8 pm) and AUGUST 15th (9-11 am). You will need to attend only one of these sessions. If these dates change, we will inform you via email and the changes will be on our website as well. If you have any questions or comments, please leave them in the box below. Thank you for your support of Mountain West String Academy!

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