Borrowed Equipment Request

Crowley County School District Re. 1-J
Borrowed Equipment Request
Full Name*
Mailing Address*
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date*

MonthDayYear
Date
The following item(s) are being borrowed from Crowley County School District Re. 1 J*
(Club or Organization) agrees to return the above items in good condition or will pay or replace the original item(s) damaged.*
Name of Club or Organization
Authorized Representative*
Items are to be picked up:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Pick up location
Items are to be returned*

MonthDayYear
Date
Hour MinutesAM/PM Option
Return location
(Administrator)
School district employee to be present at time items are picked up
School district employee to be present at time items are returned
YesNo
Items missing or damaged
Date items returned

MonthDayYear
Date
Person receiving and verifying returned items
Should be Empty: