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Music Equipment Borrowing Contract

This document is an instrument checkout form for the Independence High School Music Department. It collects a student's name, address, phone numbers, email addresses, and instrument information including serial number and condition. By signing, the student and parent agree to be financially responsible for any damage to or theft of the instrument while it is checked out to the student.

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Tammy Feinberg
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109 views1 page

Music Equipment Borrowing Contract

This document is an instrument checkout form for the Independence High School Music Department. It collects a student's name, address, phone numbers, email addresses, and instrument information including serial number and condition. By signing, the student and parent agree to be financially responsible for any damage to or theft of the instrument while it is checked out to the student.

Uploaded by

Tammy Feinberg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INDEPENDENCE HIGH SCHOOL

MUSIC DEPARTMENT
INSTRUMENT CHECKOUT/IN
2015-2016
NAME__________________________________Student
ID#_________________
Address______________________________________________
_________________City
________________________State___________________Zip__
____________
Cell Phone___________________Student
email_________________________
Parent/Guardian Cell
phone_____________email_____________________
Insttrument:_____________________Serial
Number____________________
Condition at Check Out___________________Check
In_________________
Replacement Cost_______________________
I promise to treat the Independence High School Music
Department instrument listed above as if it were my own
personal property. By signing this agreement my parents
and I understand that we will be held financially liable for
any excessive damage to the instrument or its theft while it
is in my possession.
Student
Signature/Date______________________________________________
_____
Parent/Guardian
Signature/Date__________________________________________

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