Instrument Check Out 22/23
Please fill out this instrument check out form for any equipment or instrument you are checking out.

If you are a new student checking out for the first time OR if you are a returning student and keeping your instrument for the summer please fill this form out.

By checking out an instrument you are responsible for the care and maintenance of the instrument.  Make sure that you are the only one who will be playing the instrument and do your best to clean it and keep it in good working order.  

Any repairs needed after it is checked out will be the responsibility of the student.

If a student loses the instrument or it gets stolen it is the responsibility of the student to pay for it.


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Student Name *
Student Address *
Student Email *
Phone number where you can be reached *
Instrument or equipment you're checking out (such as flute, trumpet, baritone, colorguard rifle, sabre, snare drum, etc) *
Brand (brand of instrument such as yamaha, pearl , buffet, etc)
Serial Number (located somewhere on the instrument, NOT the model number)
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