Instrument Agreement/Rental Form
Please complete the form below and make payment using the Online Payment system. Once the form is complete and payment made, you can pick up the school instrument at Harmony!

School instruments can be picked up at Harmony from 9am-12pm on August 28. If you are unable to make that time, please email Mr. Fairchild for an alternative date/time. christopher.fairchild@lcps.org.
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Email *
Student Last Name *
Student First Name *
Instrument *
Date/Time you will pick up your school instrument. Select "Other" if you cannot make either date/time and list some general days/times that you would be available to pick up. *
Parent First and Last Name *
I accept the terms of the Instrumental Rental Agreement and understand that I am responsible for the above school owned instrument until checked in. I will assume the responsibility for the repairs on the above issued instrument, except for normal wear. Payment can be made online (preferred), or checks are to be made out and mailed to Harmony Middle School. *
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