Personal Instrument Locker Request

Please submit this form to request an instrument locker for Fall 2025.

~Personal Instrument Lockers are for UTA Music Majors, Music Minors, and Ensemble members.
~This is for the lockers with the metal grill doors.
~When your request period is complete, you are responsible for removing all personal items from the locker.
~We are not responsible for items left in the personal lockers.
Lockers are available on a first-come first-served as available basis.

Completing this form does not guarantee that a locker in the size you need will be available!

Name Name First Last
UTA Student Email Address
Phone Phone - ### - ### ####
UTA Student ID Number
Which degree are you pursuing?
Would you like to request the locker for the semester or the full academic year?
What instrument are you storing?
In inches, what are the dimensions of the instrument case to be stored?
(width x height x length)
Do you have a locker # request?
If so, please list it here.
We cannot guarantee the request, but we will try!
Questions or notes about your needs?
RULES

I understand that this locker is only to be used for musical instruments and related items.
I may not store food, drinks, etc in this locker.
I may not replace the lock with my own, it will be cut off if I do.
If any of these rules are not followed I understand that I will no longer be allowed to use UTA Music lockers.

RULES

I understand that this locker is only to be used for musical instruments and related items.
I may not store food, drinks, etc in this locker.
I may not replace the lock with my own, it will be cut off if I do.
If any of these rules are not followed I understand that I will no longer be allowed to use UTA Music lockers. Yes, I agree to follow these rules.