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 due at time of Checkout
Payment 2: $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

THIS FORM & PAYMENT #1 MUST BE COMPLETED IN ORDER TO PICK UP INSTRUMENTS ON AUGUST 26TH OR 27TH, 2020. INSTRUMENT CHECK OUT AND PICK UP WILL BE FOR 7TH & 8TH GRADE RETURNING STUDENTS. A SECOND DATE WILL BE SELECTED FOR BEGINNING ORCHESTRA STUDENTS IN ORDER TO NOT CREATE OVERCROWDING AT PICK UP.
Email address *
Student's First and Last Name *
Student's Current GISD Campus *
Student's Current Grade Level *
This rental is for: *
The instrument we need to rent from BMS/GISD is: *
I have watched the sizing video that corresponds to the instrument, and will email or call Miss Dane with any sizing questions prior to picking up my instrument. *
All instruments - when you already have an instrument at home and need to check the size since you have probably grown.
Violin Sizing for RENTING a violin
Viola Sizing for RENTING a viola
Cello Sizing for RENTING a cello
Bass sizing for RENTING a bass
What size instrument do you need? *
Parent/Guardian First and Last Name *
Home Address *
Parent/Guardian Primary Phone Number *
Parent/Guardian Secondary Phone Number
Parent/Guardian Primary Email Address *
Parent/Guardian Secondary Email Address
I understand that payments, according to their due dates, can be made by check made out to Benold Middle School, or with cash. The second and third payment may be paid online through our GISD RevTrack system. *
By typing our names below, We verify that we have read all information on this check-out form and that we agree that we will be responsible for this instrument including repairs and/or replacement caused by student or parent/guardian negligence. We agree that rental fees will be paid as stated above. Sign with: Parent/Guardian's First and Last Name, Student First and Last Name. *
A copy of your responses will be emailed to the address you provided.
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