Instrument Sign Out Form

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Girls Play Trumpets Too

Email *

Student Name *

Parent Name *

Instrument Case Number (if known)

You must agree to the terms below by checking each box to borrow a trumpet for Girls Play Trumpets Too. *

I understand that this instrument must be returned if my child decides not to continue participating in Girls Play Trumpets Too.

Instruments may be returned to our office or your child's program site (St. Charles Ave. Baptist Church)

I understand that I am financially responsible for any damages done to the instrument while it is signed out under my child's name.

I agree to cover the cost of any damages done to the instrument.

Required

I understand that this instrument is loaned to my child for use during the time they are enrolled in Girls Play Trumpets Too. No siblings, friends, or classmates should play this instrument. *

Yes

Required

Are there any changes to your contact information

Send me a copy of my responses.

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