Instrument Loan Request Form
The Music Department of the Bergenfield Public Schools has a limited number of school-owned instruments available for loan to students. District-owned instruments will be available to those pupils for whom the purchase of a musical instrument would impose a difficult financial burden. A list of music stores with rent-to-own programs is provided by the instrumental music faculty.
School-owned instruments being offered in the fall 2021 to students in grades 4-12. Completion of this form does not guarantee the instrument will be available. School instruments will be distributed until the supply is exhausted on a first-come, first-served basis. Instruments must be returned at the end of the school unless other arrangements are made with the instrumental music faculty.
Student First Name
Student Last Name
Student ID Number
Current School Attending
Roy W. Brown Middle School
Bergenfield High School
Page 1 of 4
Never submit passwords through Google Forms.
This form was created inside of Bergenfield Board of Education.