Band Instrument Rental Application

Band Instrument Rental Application
Filling out this form does not guarantee a rental instrument.

Filling out our form will speed the rental process up, but all rentals are first come first serve. We recommend that you call us at 360-786-6000 to find out availability of instruments.
Name*

First NameLast Name
Birth Date:*

MonthDayYear
Home Phone Number:*

Area CodePhone Number
Mobile Number:

Area CodePhone Number
Email Address:*
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you rent or own your home?:*
How Long Have You Been At Your Current Address*

Less than a year.Between 1 and 5 yearsOver 5 years
Spouse/Partner's Name
Employer Or Spouse Employer*
Employer Phone Number*

Area CodePhone Number
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Long Have You Been Employed At Your Current Job*

Less than a year.Between 1 and 5 yearsOver 5 years
Please make any requests here:
School Information
Student's Name*
Student's School*
School Phone Number

Area CodePhone Number
Year in School:*
Family Information
Nearest Relative/Emergency Contact (Not at same address):*

First NameLast Name
Contact Phone Number:*

Area CodePhone Number
City/State*
Relationship to Student:*
E-mail Address:
Should be Empty: