UNITED INDEPENDENT SCHOOL DISTRICT LOAN AGREEMENT FOR SCHOOL OWNED UNIFORMS

							UNITED INDEPENDENT SCHOOL DISTRICT LOAN AGREEMENT FOR SCHOOL OWNED UNIFORMS

I hereby request the loan of the with-in named uniform(s) I accept full financial responsibility for the care, maintenance, damage, or loss of said uniform. I further agree that I will return the uniform(s) upon request. School loaning uniform: Person releasing uniform: Student receiving uniform: Address of student: Student's phone number: ( ) UNIFORM INFORMATION Uniform 1. Marching Uniform 2: Concert Uniform 3Mariachi Uniform 4Other Date released Date received

Coat No. Coat No. Coat No.

Pant No. Pant No. Pant No. Pant No.

Other Other Other

Bag/Hanger Bag/Hanger Bag/Hanger

Coat No.

Other

Bag/Hanger

STUDENTS SIGNATURE/DATE:

PARENTS SIGNATURE/DATE:

Signature:
UISD Form 890-016 June 2001

Date