McComb Band Department
Contract for School Owned Instruments
Student Name___________________________________ School Year____________
Parent / Guardian Name__________________________________________________
Serial Number___________________________________ Condition_____________
This instrument is the property of the McComb Band and is on loan until the end of the current school year. I understand that I, along with my child, am responsible for the care and maintenance of the above instrument and will promptly pay for repair due to the negligence of either myself, or my child. In addition to any repair caused by negligence, I understand that in the case of theft, or loss due to negligence, I will be required to pay the for the instrument that was lost.
The Director, at any time may place my child on a different type of instrument based on the needs of the band. If this occurs, I will not be required to purchase another mouthpiece unless I so desire. I still agree to be responsible for the proper maintenance supplies of the newly assigned instrument. I understand that school-owned instrument are repaired and proper maintenance is provided during the summer months, so that when an instrument is issued to a student, that instrument is issued in good, working order.
____ Initial here signifying you have read the above paragraphs.
Responsibility of Parent and Student
Responsibility of McComb Band Department
Procedures for Confiscation of an Instrument Due to Neglect
I have read this document entirely and understand and will follow the provisions contained within.
Parent Signature ______________________________________________ Date ______________
Student Signature ______________________________________________ Date ______________
Director Signature______________________________________________ Date_______________