2018-2019 Instrument Maintenance Form
Students using school owned instruments must have this form on file. A $50.00 yearly instrument maintenance fee will be assessed for each instrument that is checked out to a student. You need to only fill out this form once, even if your student has an instrument for home and one for school.
Email address *
School and Program *
Student Last Name *
Your answer
Student First Name *
Your answer
Instrument *
Name of Parent/Guardian *
Your answer
Address *
Your answer
City *
Your answer
Primary Contact Phone *
Your answer
Primary Contact Email *
Your answer
Payment Options *
I understand and agree to the following: *
Required
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