MWMS Band Instrument Rental Form
School owned instruments are provided upon the receipt of completed rental contract and $75.00 rental fee. Instruments are provided on a first come-first served basis.

Any student desiring to use a school owned instrument should be serious about his or her desire to participate in the Mt. Washington Middle School band program.  Please consider all of the following information before completing this school instrument request.
Parents requesting a school owned instrument for their child need to be supportive of their child’s desire to play an instrument and agree to these basic guidelines.  

1.  The student uses the instrument to participate fully in band class instruction.
2.  The student should attend all public performances scheduled for their band class.
3.  The student should schedule time for home practice each week.

The Mount Washington Middle School Band has invested in the purchase and maintenance of these instruments, so care must be taken to ensure that these instruments remain in good condition.  Proper care includes the following guidelines:

1.  This instrument will be played only by the student listed below.
2.  This instrument will be kept clean according to the teacher’s instructions.
3.  This instrument will be stored in the case in a secure location when not in use.
5.  Any loss or damage to the instrument (other than normal wear) will be the      
responsibility of the student and guardian.  

Failure to follow these guidelines will result in the loss of the use of this instrument.

Instruments are property of the Bullitt County Schools.  If you move or discontinue participation in the MWMS band program, you must return your instrument to the Mt. Washington band department before your final day in class.
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Email *
Student Name *
Parent / Guardian Name *
Best Phone Number to reach you at: *
Digital Parent / Guardian Signature: I Agree to follow the Above Guidelines. I understand that I am responsible for the upkeep and care of the instrument rented to me. *
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