GISD School-Owned Musical Instrument Check-Out and Rental Agreement (English)
The Georgetown Independent School District is able to provide a limited number of musical instruments for student use throughout the school year. This includes percussion equipment. GISD staff members will provide appropriate instructions on the safe care and handling of this GISD-owned musical instrument. The rental fee for a calendar year is $100. This fee covers the actual rental plus regular maintenance to be determined by GISD music staff members. This fee does not include repairs or replacement cost caused by student or parent/guardian negligence. For this reason, students and parents should work to insure the safety and security of the instrument at all times, including appropriate care regarding temperature and weather conditions. GISD staff members will verify the condition of the instrument upon check-out and document this condition with photograph(s). The full repair or replacement cost for any damage caused by negligence after check-out will be the sole responsibility of the student and the parent/guardian. As with all GISD property, if the student moves out of this attendance zone, the instrument will be returned to the assigned campus.

Fees should be paid on the following schedule (checks can be made payable to GISD Fine Arts) –
Payment 1: $20 minimum due within one week of check-out
Payment 2: an additional $40 due by November 15 of this school year
Payment 3: final $40 due by February 10 of this school year
Note – this fee schedule can be altered by agreement between director and parent/guardian

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Email *
Student's First and Last Name *
Student's Current GISD Campus *
Student's Current Grade Level *
This rental is for: *
Parent/Guardian First and Last Name *
Home Address *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Parent/Guardian's First and Last Name - By typing my name below, I verify that I have read all information on this check-out form and that I agree that I will be responsible for this instrument including repairs and/or replacement caused by student or parent/guardian negligence. I agree that rental fees will be paid as stated above. *
A copy of your responses will be emailed to the address you provided.
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