Student Name *

First Name

Last Name

When is instrument needed by?

MM

DD

YYYY

Parent / Guardian Name *

Individual responsible for rental

First Name

Last Name

Phone *

Best # to Reach You

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Instrument Choice *

Percussion Kit: includes rolling case, practice pad, drumsticks, bell mallets, sturdy stand, and music rack

Clarinet: includes case, mouthpiece, mouthpiece cap, ligature, reed, swab, cork grease

Flute: includes case and cleaning rod

Trombone: includes case, mouthpiece, and slide lubricant

Trumpet: includes case, mouthpiece, and valve oil

Alto Saxophone: includes case, mouthpiece, mouthpiece cap, ligature, neck strap, reed, swab, and cork grease

Oboe: includes case, reed, swab, and cork grease

Baritone (Euphonium): includes case, mouthpiece, and valve oil

French Horn: includes case, mouthpiece, and rotary valve oil

Tenor Saxophone: includes case, mouthpiece, mouthpiece cap, neck strap, reed, cork grease, and swab

Violin: includes case, quality bow, rosin

Viola: includes case, quality bow, and rosin

Cello: includes padded bag, quality bow, rosin, and endpin rest

Upright (Double) Bass: includes padded bag, quality bow, rosin, and endpin rest

Additional Accessories

These are not included in the rental price. They will be delivered to the school along with instrument unless other arrangements are made.

Method Book

Music Stand

Shoulder Rest (if playing violin or viola)