Instrument Lending Library Request Form

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Click here to see what instruments are available

Before going through our form, make sure you know what instrument you want. Be sure to get the instrument, brand and serial number for the instrument you want to borrow, then come back to this tab.

If you already know which instrument you are borrowing, please hit next.
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Name of Borrower* This field is required.
First Name
Last Name
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Name of Parent/GuardianIf under 18
First Name
Last Name
4
School or private instructorIf applicable
5
For Adults - Name and Number of a reference* This field is required.This is used in case we are unable to reach you when your borrow period expires. For children, please put "Child" or the name of the band teacher.
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Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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Indicate Instrument(s) or equipment you are requesting* This field is required.Note: Please include instrument/brand/serial number. You can find instruments on our website: https://www.harmonny.org/instrument-lending-library
Huge
Large
Normal
Small
Ok
Ok
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Date instrument needed/requested* This field is required.
Date
Year
Month
Day
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Expected Borrow Period* This field is required.How long do you expect to keep the instrument or equipment?
Less than 1 week
Between 1 week and 6 weeks
Between 6 weeks and 3 months
Between 3 months and 1 year
Longer than 1 year
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Please select your preferred participating library or music center for pickup
Please Select
Please Select
Alexandria Bay (Macsherry)
Black River (Sally Ploof Hunter Memorial Library)
Canton
Cape Vincent Community Library
Depauville
Evans Mils Public Library
Lowville
Lyons Falls
Massena
Morristown
Music Education Center
Potsdam
Sackets Harbor - Hay Memorial
Sandy Creek
Turin
Watertown
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I agree to the user guidelines* This field is required.SCROLL DOWN AND SIGN HARMONNY PERFORMING ARTS COMMUNITY LENDING AGREEMENT SECTION 1. ELIGIBILITY Lending is restricted to community members aged eighteen (18) years or older, with valid photo identification. Community members under the age of eighteen (18) may borrow an instrument and/or equipment with parent or legal guardian’s permission and signature. SECTION 2. LOAN PERIOD For students enrolled in a school music program, the loan will be renewed on January 15, June 15, and September 15. The borrower may borrow one musical instrument at a time unless special permission is granted. For non-students, the loan will be renewed every six (6) weeks, subject to HarmoNNY staff approval. HarmoNNY reserves the right to deny renewal to students and non-students. SECTION 3. COST There will be no cost or payment associated with instrument and/or equipment loans. SECTION 4. RENEWALS Loan renewals will be considered on a case-by-case basis if there is no waiting list for the particular instrument and/or equipment lent to borrower. Renewals are subject to inspection by HarmoNNY staff. If HarmoNNY staff determines the instrument and/or equipment is not being well cared for by the borrower, the renewal shall be denied, and the borrower may be held responsible for the cost of any repairs. SECTION 5. CARE OF INSTRUMENT/EQUIPMENT Instruments are to be kept in climate-controlled conditions, must be regularly cleaned, and must be handled with care. Reasonable wear and tear is expected. SECTION 6. LIABILITY The borrower agrees to assume any and all legal liability for the cost of repair or replacement in the event of loss due to theft, damage, negligence, or misuse. Parents and/or legal guardians are responsible for materials borrowed by minors in their care. SECTION 7. RETURN At the end of the loan period, the borrower must return the borrowed instrument and/or equipment to HarmoNNY. Upon return, the borrowed instrument and/or equipment must be in the same or substantially the same condition as it was at the time of the original lending. In the event such instrument and/or equipment is not in the same or substantially the same condition as it was at the time of original lending, the borrower shall be responsible for the cost of repairing or replacing the same. SECTION 8. FAILURE TO RETURN Borrower, and/or the parent or legal guardian of a minor borrower, agrees that in the event borrower fails to return any borrowed instrument and/or equipment at the end of the loan period, borrower and/or the parent or legal guardian of a minor borrower shall be liable to HarmoNNY Performing Arts Community for the cost of replacing the instrument and/or equipment which borrower failed to return. If necessary, HarmoNNY shall have the right to seek a Judgment from a Court of appropriate jurisdiction against borrower or, as the case may be, against the parent or legal guardian of a minor borrower. SECTION 9. GOVERNING LAW This Agreement is governed by and construed according to the laws of the State of New York, where the subject organization is located. If any of the terms or conditions stated herein conflict with any such law, then such terms or conditions shall be deemed modified and amended to conform to such law. SECTION 10. SEVERABILITY The invalidity of any provision in this Agreement or of its application to any person or circumstances as determined by any government agency or court shall in no way affect the validity of any other provision hereof and all other terms of this Agreement shall be valid and enforceable to the fullest extent permitted by law.
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