Glades Middle School BandPERIOD___

Music Instrument Rental Contract

School ____Glades Middle School______School year 2017-2018_

Instrument Type______Brand ______

Factory Serial No.______PC No.______

Supplied with the following assignments (check those issued with instrument)

__ Case__End Plug__Grease__Strings __Cover __Handcrutch __Picton

__Wiper__Bow__Key__Rosin__Screw Driver__ Mouthpiece

__Bocal__Strap__Lyre__Ligature__Reed Case__Sling

__Stand__Cap__Swap__Joint Cap__Oil__Mallets

__Other______

Date Issued ___/___/___ Condition ______

Date Returned___/___/___ Assessment Paid$______Receipt No.______

Rental fees paid for: (Please check) DurationAmount Receipt No.

Note: There will be no refund of___ Instrument Rental $25.00

the band fee paid to the school

after the first month of school.____School Year MusicFee$14.00

Director’s Signature ______

We acknowledge the receipt of the above instrument and accessories and agree to the following:

  1. To be personally responsible for the safe –keeping of this instrument and to return it immediately to the school upon request of the director or principal.
  2. To maintain the instrument in good playing condition at all times, keep the instrument clean and polished , and have it repaired as deemed necessaryand/or requested by the director(Includes string replacement)
  3. To pay current replacement value in the event of loss or covered through independent coverage.
  4. To have the instrument assessed at the end of the contract period and pay a fair assessment for all damagein excess of normal wear and tear.
  5. To allow no unauthorized person to play, handle, or use this instrument without specific permission of the director. NOTE: This instrument MAY BE ASSIGNED TO MORE THAN ONE STUDENT. Each student shall be affordedequal home practice time and taken into consideration for any repair assessment. Repairs due as a result of damage or neglect 9other than normal wear and tear will be paid for by the student’s)responsible.
  6. To encourage my child to use the instrument to the best of his /herability for serious study including regular attendance at all organization rehearsals and performances, regular home practice and additional instruction and study when possible.
  7. Excessive neglect or abuse of a school owned instrument by a student will result in removal of the instrument from the student.
  8. Instrumentrentals are available to be enrolled, active members of the instrumental music department.
  9. Noncompliance of the above rental policies can result in the permanent removal of the school instrument from the student.

I have read the above policies and understand my responsibilities.

Student’s Name______Grade ______

Home Address______Phone______

Miami, FL ______Parent’s/Guardian’s Name Printed ______

Student’s Signature ______Date______

Parent’s/Guardian Signature______Date______