Instrument Release Form

NORTHEASTERN UNIVERSITY

INSTRUMENT BORROWING CONTRACT

This equipment shall only be used in conjunction with the Northeastern University Bands. The user of this equipment must be associated with the Northeastern University Bands. Permission for equipment use by outside users must be cleared through Allen Feinstein, Director of the Bands or the director of the pertinent music organization.

Any maintenance needed to replace or repair damaged band equipment will be paid for at the user’s expense and reported to the NU Bands manager. Any loss of equipment will require the user to pay for the replacement of this equipment at full cost.

All equipment issued to the user by the Northeastern University Bands is to be stored safely, either at the user’s residence or in a locker assigned by the Bands manager.

A forfeiture of any other agreements with the Northeastern University Bands for equipment use will be enacted in the case of loss, damage, or any unauthorized use. All equipment must be returned by the date predetermined by the Northeastern University Bands. This date is not flexible, and is tailored for the convenience of the Northeastern University Bands.

**ALL INFORMATION MUST BE FILLED OUT COMPLETELY**

Equipment Information User’s Information
Instrument:______________________ Name:_______________________________________
Case #:__________________________ ID #:______________________________________
Season/Ensemble:__________________________ Month/Year of Graduation:____________________
Equipment Condition Upon Issue: Local Address:
(poor, fair good, excellent, new)
Street:_______________________________________
___________________________________
Apt #:_____________ City:_____________________
Equipment Condition upon Return:
(Determined by the Band Manager) State:______________  Zip:_____________________
___________________________________
Cell Phone #:________________________________
Date Issued:______________________
E-mail:______________________________________
Date to be Returned:______________
Date Returned:___________________ When returned, please initial here:
User: __________    Manager: ____________

 

——————————————————————————————————————————

 

AUTHORIZATION:

I agree to all the terms listed above:____________________________________ Date:_____________

NU Bands Manager: ___________________________________________ Date:__________________