Laramie County School District 1 Music Check-Out Request Form

Please fill out all information and select the submit button.

All music will be sent USPS from the Music Office off Laramie County School District #1.
Borrowers will be responsible for cost of return shipment.
All music must be returned to the library upon completion of current usage.
No music may be photocopied for any reason.

Person Making Request First Name *

Person Making Request Last Name *

Phone Number *

Email Address *

Name of School or organization *

School District

Shipping Street Address *

Shipping City *

Shipping State *

Shipping Zip *

Music information

Type of Ensemble *

Data Base *

Library # if known

Title *

Composer *

Arranger if no arranger please put N/A

Number of copies/sets requested *

Add 2nd piece

Yes

Type of Ensemble 2 *

Data Base 2 *

Library # if known 2

Title 2 *

Composer 2 *

Arranger if no arranger please put N/A - 2

Number of copies/sets requested 2 *

Add a 3rd piece *

Yes

Type of Ensemble 3 *

Data Base 3 *

Library # if known 3

Title 2 *

Composer 3 *

Arranger if no arranger please put N/A - 3

Number of copies/sets requested 3 *

Approximate return date: *

By selecting below you understand that you will be responsible for the prompt return and the shipping cost of any borrowed music. Please return all music in good shape with all parts and copies. *

Agree