KISD INSTRUMENT USAGE AGREEMENT Instrument: Serial # Brand: Replacement Cost:
KISD # : Model: Inventory list/ Campus: FRHS
Check out Condition: Students/Parent please note any damage upon check-out. Students will be financially responsible for any damage not on this form upon return on the instrument.
Additional Items:
Mouthpiece: NO / YES
This instrument may be checked out from the school for a $100.00 per school year rental fee. Please make checks payable to FRHS Band. This fee only covers normal cleaning and maintenance and soes not apply to excess damage or abuse. Every effort has been made to provide the band students of Keller ISD with a quality instrument in the best possible condition. It is the student's responsibility to take extra precaution and return it in as good or better condition at the end of the season. The student is responsible for perfroming regular cleaning and proper care of the instrument while it is in their possecssion. Repair work should be brought to the attention of the director (ASAP) to avoid any extra damage that might occur. The instrument needs to be transported in its case and all instruments should be stored in their appropriate place in the band hall. "I have read and understand the instrument usage agreement:" STUDENT ISSUED TO: STUDENT SIGNATURE: PARENT SIGNATURE: