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