West Briar Middle School Band Instrument Loan Form
Please complete this form and pay the $100 instrument loan fee using this link - http://bit.ly/bandschoolpay19
Thank you!
Questions? Please email Mr. Hall - lhall8@houstonisd.org
Email address *
Student ID Number *
Your answer
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Grade *
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent's Email Address
Your answer
Parent/Guardian's Phone Number *
Your answer
Which Instrument are you borrowing? *
West Briar Middle School Instrument Loan Agreement
Due to a limited inventory, West Briar Middle School cannot promise to provide a band instrument for all students. A student may use a school loaned instrument at school and at home for practice and performances. A student must properly maintain the loaned school instrument and return it to West Briar Middle School at the end of the school year or when requested by the band director or the school administration. Assuming normal wear and tear, a school instrument must be returned to the school in the same condition in which it was issued to the student. Parents/Guardians of a student with a school instrument assume full liability for fees related to the repair or replacement of school loaned instrument. Parents/Guardians of a student with a school instrument must pay a replacement fee to West Briar Middle School for a lost or stolen instrument or for an instrument that is damaged beyond repair. The instrument replacement fees are listed below and may be greater than the current value of the loaned instrument. Parents/Guardians of a student with school instrument must pay repair fees for an instrument that is damaged due to an accident, neglect, or intentional abuse. The band director or the school administration may revoke a student’s privilege of using a school instrument if they believe the student has neglected or has intentionally abused the instrument. Parents/Guardians of a student with a school instrument agree to pay the annual $100 instrument loan fee to West Briar Middle School. Instrument loan fees are nonrefundable.

West Briar Middle School Instrument Replacement Fees:
Flute - $1200
Clarinet - $1200
Bass Clarinet - $2800
Alto Saxophone - $2800
Tenor Saxophone - $2800
Baritone Sax - $4800
Trumpet - $1200
French Horn - $3800
Trombone - $1200
Euphonium - $2800
Tuba - $8500
Do you agree to be legally bound to all of the terms in the West Briar Middle School Band Instrument Loan Agreement? *
Please type the Parent/Guardian's First and Last Name that has agreed to the terms of the Instrument Loan Agreement. *
Your answer
Today's Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Houston Independent School District. Report Abuse - Terms of Service