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Music and Arts Repair Pick-up Request
Complete this form to contact Music and Arts for a Repair Pick-up
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Repair Option
*
Choose
Private Repair - Parent will be covering cost of repair.
Repair Plan - Repair will be covered by terms of repair plan agreement.
School Repair - School will be covering cost of repairs.
Rental Return - Parent is returning an instrument from Music and Arts
Instrument Type
Choose
Flute / Piccolo
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
French Horn
Trombone
Euphonium / Baritone
Tuba / Sousaphone
Student Name
*
Your answer
School Name
*
Your answer
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Cell #
*
Your answer
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