Instrument Usage Form (Parent)

Dear Parents,

Your child is privileged to have the use of a school purchased instrument from ISY. Proper instrument care is taught in class and reinforced on a daily basis. NO ONE BUT THE STUDENT should handle the instrument at home! It is an expectation that the instruments will be returned to the school in the same condition that they are issued at the beginning of the year. Minor, normal wear and tear will be present as instruments are used, and accidents happen- you can be assured those situations will be taken into account. MAJOR damage or CARELESS damage to an instrument will have to be repaired at the expense of the parent.

We are very fortunate to be able to loan good quality instruments to you at no expense, so please take EXTRA great care of them! Please SIGN AND RETURN this form.

Thank you for your support!

Director of Bands- ISY
Student Name*
Grade*
Instrument*
Period*
School Case Number*
Current Condition of Instrument*
- New/Excellent
- Good
- Fair
- Poor
Existing damage/dents:
Depending on your instrument, you will also be checking out the following that must be returned with the instrument: Flute (cleaning rod), Saxophone (neck cap, strap), brass instruments (mouth piece), trumpet (third valve slide)

We agree to cover any extraordinary damage to the school instrument our child is using, and will encourage him/her to take good care of the loaned instrument.
Parent Name*
Parent Email*
Parent Signature*
Date*
MM slash DD slash YYYY