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Mackinac Island High School Music Class School Instrument Agreement Form This contract is between and the

Mackinac Island Public School music class for the use of a musical instrument during the 2013-2014 school year If you use an MIPS-owned musical instrument, you are responsible for its care and minor maintenance. A normal amount of wear will be allowed for, but damage resulting from mistreatment or carelessness will be charged to the student. I understand that if there is any ma or damage to the instrument beyond normal wear and tear, I will be re!uired to pay for the repair. I agree to keep the instrument safe and in proper ad ustment. Instrument Serial !um"er

Student Signature #arent Signature

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