Music Locker Rentals 2018-2019 - University of Minnesota Duluth
Please fill out this form if you would like to use a UMD music locker. Lockers are provided at no charge for all students who are involved in music at UMD (private lessons or a member of a music ensemble).

NOTE: If you are in need of multiple lockers, please fill out the form for each locker.

Lockers will be given out on a "first come, first serve" basis. If you have questions contact the grad TA's Nick Allen ( or Dan Ingman at (

Email address *
Name *
Your answer
Student ID *
Your answer
Student Email *
Your answer
Cell Phone *
Your answer
Local/Campus Address *
Your answer
Home Phone *
Your answer
Home Address *
Your answer
Please list the type, make/model, serial number and the estimated value of the primary instrument you will be storing in this locker. *
Your answer
If you are storing multiple instruments in this locker, please provide information on the other instruments. *
Type, Make/Model, Serial Number, Estimated Value. If only one instrument, please type "NA" in this box.
Your answer
Lockers are located in Chester Park and Humanities. Please select a locker location only if you are using your own instrument. If you would like a locker in both locations, please fill out the form for each location. *
If you are renting a school-owned instrument, a locker will be provided at Chester Park.
By checking the box below, you agree to the terms of this contract. Date of agreement will be the electronic time and date from which this form is received by UMD. *
I accept full responsibility for the lock, locker and instrument (if applicable) listed above. I agree to only use the school-issued lock on my locker. I will return school-issued items on or before the last day of the term for which it has been issued. I agree to keep the instrument in sound playing condition and pay for any repairs necessary as a result of my misuse, neglect or carelessness. I further agree to pay for the instrument's replacement should I lose it. Failing to follow proper check-out procedures, may result in a hold being placed on my record until the situation is resolved.
Please let us know any questions or comments you may have. Thanks!
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