US Instrument Use Permit Form

All Upper School students take Orchestra class daily and need an instrument to use during in-person class and working remotely from home. Before a student is allowed to take an instrument home, a parent/guardian must submit an Instrument Use Permit Form.
(Permiso de uso del instrumento - Spanish version)

No instruments can leave the building without a signed permit form on file. 

Due date: Monday, August 17 / Wednesday, August 19

On the form, please complete the BOLDED fields only.

*Orchestra, if unknown, leave blank
Sign, date, print name and parent email

Completed and signed forms can be turned in to Orchestra Teachers


Signed forms can be scanned and emailed directly to Mrs. Kolb:  

QUESTIONS? Please contact Mrs. Kolb, Orchestra Admininistrator:

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