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RRISD School Owned Instrument Usage Form
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* Indicates required question
Email
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Your email
School and Program
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Stony Point HS Band
Student Last Name
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Your answer
Student First Name
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Your answer
Student ID (with the 's')
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Your answer
Parent/Guardian Last Name
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Your answer
Parent/Guardian First Name
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Your answer
Address
Your answer
City
Your answer
Contact Phone
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Your answer
Contact Email
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Your answer
Instrument Checking Out
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Choose
Piccolo
Flute
Oboe
Bassoon
Bb Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Bari Saxophone
Trumpet
Horn
Tenor Trombone
Bass Trombone
Euphonium
Tuba
Brand
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Your answer
Model
Your answer
Serial Number or Local ID Number
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Your answer
Replacement Value
Your answer
Accessories Provided
Your answer
Payment Options
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Click on the link to go to the RRISD Fine Arts Website and complete your payment online -
https://roundrockisdtx.governmentwindow.com/estore/sphs/sphs-band.html
Make your $50.00 check out to RRISD Instrument Usage and turn it into your band or orchestra director
Request a waiver of the musical instrument usage fee because this student is eligible for free/reduced lunch.
I understand and agree to all of the following -
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Payment of this fee does not guarantee a specific instrument, nor does it reflect a student's placement within their ability based ensemble.
The fee applies even if the student uses a privately owned instrument for "home" use.
The student and parent/guardian are responsible for providing all accessories for the instrument, including mouthpieces and reeds. This includes replacing broken strings on orchestra instruments and guitars.
The student and Parent/Guardian are responsible for loss and/or damage to the musical instrument while it is in the possession of the student.
This fee will be assessed once during the academic year and is not refundable.
Insurance is not provided by the school district for any instrument. Families are encouraged to insure the instrument though their homeowners policy via a rider.
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By checking the box below I acknowledge that all the information detailed above is accurate and correct.
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I understand and agree to the terms detailed above.
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