Instrument Agreement

Oak Glen Middle School - Band Instrument Usage Agreement

Dear Parents:

We are pleased to provide your child with a school-owned instrument for his/her use during the 2020-2021 school year. At the end of the school year the instrument is to be returned to the school. It can then be reissued for the following year, when a new agreement has been completed.

Any supplies required for the instrument such as reeds, cork grease, or brass instrument oil must be purchased by the parent and are not part of the usage agreement.

Please Note: The District is not responsible for instruments left on the school bus, in student lockers or unsecured facilities.

Student Information

* Indicates required field

Student Name *

First

Last

Student Grade Level (Choose from drop down menu) *

Instrument Being Loaned (Choose from drop down menu) *

Parent/Guardian Name *

First

Last

Parent Email Contact *

Parent Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

In consideration of Oak Glen Middle School releasing an instrument to my child, I agree to take full responsibility for the care of the instrument described above, including loss or damage to the instrument beyond normal wear and tear for the 2020-2021 school year. I understand that I will be responsible to pay for any damage to the instrument. I also understand that the instrument must be returned on the last day of school. *

I agree to the terms

Submit

​Oak Glen Middle School - Band Instrument Usage Agreement

Student Information

Oak Glen Middle School - Band Instrument Usage Agreement