Instrument Usage Form
Parent answer the following questions.
Email address *
Parent Name *
Your answer
Student Name
Your answer
Instrument Name and Number on Case (such as; violin k34c22, or cello k44-262) *
Your answer
Book number and instrument (such as; violin #8) *
Your answer
Instrument Usage Responsibilities
Please supply own cleaning rag. Please replace rock stop, shoulder rest or rosin. Parent is responsible for replacing broken strings. Instrument should be returned in good working order. Repair instrument if not in good working order.
I understand that I am responsible for supplying items needed for using the instrument. *
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. *
I am aware that my child is a participant in the Kaiser Elementary Orchestra Program and the instrument responsibilities. *
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