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    Los Angeles Music Teachers
    Piano Instrument Rental Agreement

    Dear Parent:

    We are pleased to provide you or your child with a school-owned instrument for lessons with us. A rental fee of $35.00 is charged monthly for the maintenance of our school-owned instruments.
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    Kindly fill out this rental agreement. You only need to fill out the boxes. We already have your credit card information that you gave us in your registration and you will see a $35 charge at the beginning of each month. 
    $35.00 payable to “Rossi Music/Los Angeles Music Teachers”
    Instrument: ​Piano
    Brand: Casio
    For Office Use Only:
    Condition: _______________________________________________________________________
    Date Issued: ​_____________________________________________________________________
    ​In consideration of Los Angeles Music Teachers releasing the above equipment to my son/daughter, I agree to take full responsibility for the care of the instrument described above, including loss or damage to the instrument beyond normal wear and tear. I understand that I will be responsible to pay for any damage to the instrument. I also understand that if the instrument is not returned to Los Angeles Music Teachers, I will be obligated to pay Los Angeles Music Teachers the sum of $1,000.00 which is the replacement cost of the instrument to Los Angeles Music Teachers.
    Signature of Parent or Guardian:______________________________  Date: ________________
    Returned Date:___________________________________________________________________
    Damage:_________________________________________________________________________