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Foard Band Instrument/Equipment Check-Out
Fill out the Required Instrument if you are Checking Out an instrument that is owned by the Foard Band Program.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Instrument/Equipment you are Checking Out
*
Choose
Piccolo
Flute
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
Horn
Mellophone
Trombone
Bass Trombone
Baritone/Euphonium
Marching Baritone/Euphonium
Tuba (3/4)
Tuba (Full size)
Sousaphone
Concert Snare Drum
Marching Snare Drum
Mallet Percussion Instrument
Marching Tenors (Quints)
Marching Bass Drum
Flag
Rifle
Sabre
Other (Specify on the next question)
If you Chose "Other", specify what instrument/equipment you're checking out (i.e. Tambourine, Cymbals)
Your answer
Instrument Serial Number (for Brass Instruments, the SN is usually on one of the valve casings--for WW instruments, it is somewhere on the main body of the instrument)
*
Your answer
Other Accessories/Items with your instrument (Check any that apply)
*
Mouthpiece
Ligature
Lyre
Mute
Neckstrap
None--Does not apply
Other:
Required
Describe any damage on the instrument at time of checkout (dents, broken joints, cracked corks, bent keys, etc.) and the location on the instrument. If none, write "none".
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
By clicking "I agree" and submitting this form, you are agreeing to be responsible for any lost or damaged items related to this instrument and all accessories that are accompanying the instrument. As such, you are responsible for any financial obligations for repairs to the instrument or the accessories unless an exception is made by the determination of the band director.
*
I Agree
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