Locker Request Form Personal InformationName* First Last CSU ID (numbers only, 9 digits)* Email* Enter Email Confirm Email I am enrolled for Fall 2024 as a music major or minor.* Yes No I am enrolled for Fall 2024 in applied lessons on my primary instrument.* Yes No Locker RequestPrimary Instrument*What is your primary instrument (the one you play in applied lessons)? Instruments rented from CSU will no longer be allowed to be stored in the basement lockers — complimentary storage space for those instruments will be provided in a separate location.BassoonClarinetCelloDouble BassEuphonium/BaritoneFluteGuitarHarpHornOboePercussionPianoSaxophoneTromboneTrumpetTubaViolinViolaVoiceOther instrument (from above list)Which of the following conditions apply to you? Choose the best answer from the following:* I am graduating in December 2024. I am a music minor and will not be taking applied lessons during Fall 2024. I only need my locker for the fall 2024 semester None of the above apply to me. Terms and Conditions$35 Rental Fee for non-majors and for music minors*By submitting this form, I understand that the Colorado State University School of Music, Theatre, and Dance will charge my account $35 for single locker use every semester if I am NOT enrolled as a music major OR if I am a music minor NOT enrolled in applied lessons during the course of the applicable semester until I have turned in my locker (required at the end of spring semester). NOTE: shared lockers and additional lockers will affect the amount charged to your student account. Yes, I understand and agree to these terms. Additional information about the locker fee*By submitting this form, I understand that lockers are provided at no cost to CSU students who are registered as music majors OR as music minors who are also enrolled in applied lessons for use during the current semester. If you are a non-major or music minor not enrolled in lessons, you will be charged a $35/semester fee for locker use. Yes, I understand and agree to these terms. University policy about opening lockers*By submitting this form, I understand that the Colorado State University School of Music, Theatre, and Dance reserves the right to open any locker should appropriate circumstances arise in accordance with University policy. Yes, I understand and agree to these terms. Modifications to lockers*By submitting this form, I understand that my locker assignment is a lease issued by the Colorado State University School of Music, Theatre, and Dance, and may be modified/altered to best accommodate the needs of the School, which may include sharing a locker space (at a reduced rate). Yes, I understand and agree to these terms. Liability and Insurance*The Colorado State University School of Music, Theatre, and Dance, and its faculty and staff, are not liable for any lost, stolen, or damaged property stored in a locker. I understand that it is my responsibility to insure my property, and by entering into this locker rental agreement, I release CSU and its employees from all liability. Yes, I understand and agree to these terms. Additional Storage*By submitting this form, I understand that lockers are designated as instrument storage lockers and I am not guaranteed space for personal items such as books, music, backpacks, jackets, etc. NOTE: if you would like to request an additional locker for an additional fee, please visit the SMTD front office. Office hours can be found at https://smtd.colostate.edu/contact-us/ Yes, I understand and agree to these terms. Liability and Insurance*By submitting this form, I understand that if I lose a lock that belongs to the School of Music, Theatre, and Dance, I will be charged a $5 replacement fee. Yes, I understand and agree to these terms. Contact Nicole DarlingAdministrative Assistant(970) 491-5248Nicole.Darling@colostate.edu