Instrument Rental Survey
We do ask for a $50 rental fee for each instrument to help with any unexpected repairs and wear and tear.   If you have questions about what your student may need, please e-mail  We are happy to help you out!
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Student First Name *
Student Last Name *
Parent/Guardian Name *
Parent/Guardian E-mail *
What instrument(s) do you need to rent? ($50 for each instrument) *
I, the undersigned, do hereby agree to pay an instrumental rental fee to the West High Music Department for the use of school owned instrument(s) or equipment for the 2024-25 school year. Furthermore, I accept all individual responsibility for the care and maintenance of said instrument(s) or equipment. Should any damage or abuse to the instrument occur during the year, I agree to pay the full cost to repair that instrument (including mouthpiece).  If an instrument goes missing/stolen and music locker was not locked, student is responsible for cost of replacement.  Parent/Guardian - please type your name  below as a signature of understanding. *
Today's Date *
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