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.
School and Program
Canyon Vista Band
Student Last Name
Student First Name
Name of Parent/Guardian
Primary Contact Phone
Primary Contact Email
FOR ONE INSTRUMENT: Pay cash or make a check out to "CVMS Band Instrument Maintenance" for $50.00.
FOR TWO INSTRUMENTS: Pay cash or make a check out to "CVMS Band Instrument Maintenance" for $100.00.
Request a waiver of the maintenance fee because this student is eligible for free/reduced lunch.
I understand and agree to the following:
This fee will be assessed once during the academic year and is not refundable.
The maintenance fee covers the professional cleaning and accessible dent removal when the student returns the instrument at the end of the school year.
The student and parent/guardian are responsible for the cost of any major repairs needed to the musical instrument while it is in the possession of the student in addition to the maintenance fee.
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