Moreton Youth Music Ensembles Inc.
Inspiring and Nurturing the Love of Music in the Youth of the Moreton Bay City
INSTRUMENT/ EQUIPMENT LOAN AGREEMENT FORM
Borrower's Name (Student/Member)
*
First Name
Last Name
Address where instrument/equipment will be stored:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Please provide a monitored email address
Phone Number
*
Please enter a valid phone number.
DETAILS OF EQUIPMENT ON LOAN
Tick this box if you are only STORING the instrument/equipment (not borrowing it for personal use).
STORING ONLY (not borrowing for use)
Ensemble:
MYSO 1
MYSO 2
Concert Band (MYCE)
Fiddle Group
Chamber Strings
Senior Brass Band
Description/Type
*
E.G. Viola, music stands
Size (if applicable)
Brand
*
Mark "unknown" if unbranded
MYME Label/ Serial Number
*
Most labels are in the format:- MYME-INC.COM "?"
Commencement loan date
*
/
Day
/
Month
Year
Date
Expected date of return
*
/
Day
/
Month
Year
Date
Any Additional Notes
APPROVAL FOR LOAN
This loan was approved by:
*
MYME President
Jen Barnard (MYSO 1)
Timo Jarvela (MYSO 2)
Ossie Jellyman (Senior Brass)
Stewart Boston-Dart (Concert Band)
Henry Jarvela (Fiddle Group/Chamber Strings)
INDEMNITY
I understand that a hire fee of $60 applies for instruments borrowed for personal use (this does not apply to instruments being stored only)
*
Yes
Fair wear and tear excepted, and for the duration of this transfer, I/we agree to indemnify Moreton Youth Music Ensembles Inc. against loss or damage from and cause whatsoever, to the equipment detailed herein and, in the event of damage to restore and deliver such equipment to Moreton Youth Music Ensembles Inc., in the condition in which it was received, or to replace the damaged equipment with other equipment of equivalent functionality and quality.
*
Yes
The equipment described at all times remains the property of Moreton Youth Music Ensembles Inc., and is issued on loan to the parent/member for the benefit of the student/member to the following conditions:
The equipment should be used only by the student/member to whom it is lent and by no other person.
Loss or damage of any equipment on loan must be immediately reported to the organisation.
Equipment must be returned by the student to the organisation by the date specified in this loan agreement or, if this agreement is terminated earlier than the date specified as the date of equipment return, then the date of the termination of this loan agreement. In consideration of the student having the benefit of the equipment, I accept the loan of equipment on the terms described above and I agree to supervise the student's use of equipment to ensure the terms of this loan agreement are complied with and agree to be personally responsible for the failure of the student to comply with the terms of this loan agreement.
By checking this box, I declare I am over 18 years of age or have parent/guardian permission to agree to the terms and conditions of this loan agreement.
*
Yes
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