Full Name
*
First Name
Last Name
E-mail
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Phone Number
*
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Area Code
Phone Number
Check Out Time
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AM/PM Option
Return Date/Time
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What equipment are you requesting? UREC has a variety of equipment that can be checked out through the week. Some equipment has to have a supervisors approval for checkout. For larger equipment like Kayaks, SUP Boards, and Bikes, please give us 24hrs to schedule a time to pick-up. For a quicker pick-up time please stop by the RECREATION and WELLNESS Office and check on availability.
*All equipment check-out will be subject to availability.
Condition
Poor
Good
Excellent
*Please look over equipment before you take it
Where are you taking this equipment?
*
HAVE A GREAT TIME!!
User Agreement
*
The Person filling this form out understands that they are responsible for all equipment damage, and agrees to pay replacement costs for any/all equipment if damaged or lost.
By signing below I accept all responsibility for my own physical well-being and am fully aware of the degree of potential risk and injury to myself. I hereby release Virginia Wesleyan University, UREC, and any VWU facilitator that is associated with my checkout and use of this equipment. I acknowledge that I have read and fully understand the aspects of this release.
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