Name of Student (please print): ______

Name of Parent/Guardian (please print): ______

Address: ______

______

Home phone: ______Work phone: ______

School Attending: ______Teacher’s name: ______

  1. The fee for the school year is $75.00. This fee is payable in its entirety before the student may take the instrument home. If the student moves away from Joint School District No. 2, a portion of their fee will be refunded after the instrument is returned. The amount returned will be based on the condition of the instrument and the number of months left in the school year (based on $8.30 per month).
  2. If the student transfers to a new school within JSD2, the student may use the same instrument – the student will turn it in to the first teacher who will make sure that it goes to the new school for the student’s use. The new teacher will return it to the original school at the end of the school year.
  3. NO instruments will be checked out after the school year is over (no summer rentals).
  4. Instruments that do not go home (i.e. cellos and basses) are not charged a rental fee – however, the student is responsible for damage to these instruments (see #7).
  5. The student and parents will be responsible for returning the instrument in the same condition as when it was checked out.
  6. If strings break on your rented instrument, you will need to replace them with Super-Sensitive brand, available at any local music store. Your director can put the string on for you.
  7. If the instrument sustains damage, it is your responsibility to inform your director in a timely manner. The director will inform you of what steps to take to repair it. DO NOT ATTEMPT TO MAKE REPAIRS YOURSELF! Only qualified instrument repair technicians may make repairs. The cost of these repairs is the responsibility of the renter.
  8. If the instrument is damaged to the point that it is not cost effective to repair, the student and parents will be responsible for paying the full replacement value to the school. The student/parents may donate the damaged instrument back to the school to use for parts to repair other instruments.
  9. The student and/or parent will not lend or sell the instrument to any other party.
  10. The student will not allow other students, friends, or relatives to use the instrument.
  11. The student will ensure that they are transporting the instrument in a safe manner (e.g. no bikes, skateboards, etc.).
  12. The student will be instructed, in class, on the care and maintenance of the instrument and will be expected to follow these guidelines.
  13. If your director observes abuse of the instrument, or terminates the student from the class for any reason, the instrument will be returned to the school. The fee will be used for repair and maintenance if necessary.
  14. The student will keep a clearly marked name tag on the instrument case with the student’s name, address, and the name of the school at all times.
  15. The instrument will be returned to the school prior to summer vacation.

*I have carefully read all of these terms in regards to renting an instrument from Joint School District No. 2, and agree to abide by these terms.

Parent Signature ______

Student Signature ______

Instrument ______Make ______

Condition ______Size ______

Case ______Bow ______

Replacement Value ______Date Taken: ______Date Returned ______

PLEASE RETURN THIS FORM TO YOUR DIRECTOR WITH THE CHECK PAYABLE TO THE SCHOOL YOUR CHILD ATTENDS. CHECK # ______DATE RECEIVED ______

Revised Sept. 2013