Complete this form for use of a school instrument (an instrument that is only to be used at school and not taken home).

School Instrument Only

Free

I understand and agree to all of the following:

➢ Payment for an instrument is $50.

Payment of this fee does not guarantee a specific instrument or the age/condition of the instrument, nor does it guarantee a position in a specific musical performing organization.

The student and parent/guardian are responsible for providing all accessories for the instrument, including shoulder rest, rosin, and extra strings. 

The student and parent/guardian are responsible for loss or damage to the musical instrument while it is in the possession of the student.

This fee will not be refunded if the student leaves the school district, fails a class, withdraws from the orchestra, or is dismissed for disciplinary reasons.  

➢ Insurance is not provided by the school district for any instrument. Families are encouraged to insure the instruments through household insurance riders or separate policies.