Instrument Storage Liability Waiver Form
Please complete this form to acknowledge storage-related liability limits and provide details about your instrument for storage.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Instrument Type
*
Please Select
Guitar
Violin
Piano/Keyboard
Brass (e.g., Trumpet, Trombone)
Woodwind (e.g., Flute, Clarinet)
Percussion
Other
Instrument Description (make, model, serial number, visible marks, etc.)
*
Storage Location or Pickup/Dropoff Details
*
Storage Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Retrieval Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Condition of Instrument
*
Please Select
Excellent (no visible wear or issues)
Good (minor cosmetic wear)
Fair (some cosmetic or functional issues)
Poor (significant damage or missing parts)
Submit
Should be Empty: