Instrument Repair Request
Student Name *
Class Period *
Instrument *
Instrument Locker Number / Instrument Location *
Where did you get your instrument? *
In your own words, what problem are you having? For example, which notes don't play, is a certain valve always getting stuck, etc. *
Did something happen that might have caused the issue? This helps us troubleshoot the problem. *
If you answered yes, explain what happened:
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