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.
Email *
example@example.com
Date *

Month Day Year
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: *

Month Day Year
Date
Hour Minutes AM/PM Option
Pick up location
Items are to be returned *

Month Day Year
Date
Hour Minutes AM/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
All items returned in good condition

Yes No
Items missing or damaged
Date items returned

Month Day Year
Date
Person receiving and verifying returned items
Should be Empty: