In Progress - Overnight Check Out Form
Name: Telephone:
___________________________________________ ___________________________________________
Equipment Requested: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ What you will videotape? Be specific and ready to show your planning documents. ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Date Needed: ___________________________________________
Date to be returned: _____________________________________
I promise to take good care of the equipment while it is in my possession. I will return it as requested, and I promise to keep it safe and protect it from theft. If something happens to the equipment while it is in my care, I will immediately report it.
__________________________________________ Student Signature
_____________________ Date
__________________________________________ Signature of Authorized Personnel
_____________________ Date