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 dobbsj@waterlooschools.org.  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) *
Required
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 2026-27 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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