This form is to be used only when requesting to loan a specific item for use with the Alta Sierra Intermediate Instrumental Music Program.

• Instrumental Music Polo - ALL Band* & Orchestra Students

• Instrumental Music T-Shirt - Band* Students Only

• Classroom Method Book - All Brass, Woodwind, and Orchestra Students (Not Percussion)

*Band always includes percussion, unless otherwise indicated.

Where applicable, item sizes will be determined by our program when loaned.