2018-19 Andersen Instrument Check-Out Form
Parent Pick-up, before you leave with the instrument today, answer the following questions.
Student Name *
Your answer
Parent Name *
Your answer
Parent E-mail *
Your answer
Instrument Name and Number on Case *
Your answer
Instrument Usage Responsibilities:
I understand that I am responsible for supplying items needed for using the instrument. (ex: Replacement Strings, Rosin, Shoulder Rest) *
Required
I understand that I am responsible to repair the instrument if damaged. *
I understand that I am responsible to replace the instrument if lost or stolen. *
Submit
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