Smith Middle School Instrument Repair Form
Please complete this form if your instrument requires attention. Instruments needing repair should be left in the Band Office in the designated area.
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* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Instrument
*
Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
Horn
Trombone
Euphonium
Tuba
Other:
Describe the issue
*
Your answer
Student's Locker #
*
Your answer
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