Ball Machine Request
Must be a current KPC member to use. Please complete request at least 2 to 3 days in advance of use. Thank you.
TODAY'S DATE
*
-
Month
-
Day
Year
Date
Are you a current KPC member?
*
No
Yes
USER'S NAME
*
First Name
Last Name
PHONE NUMBER
*
Format: (000) 000-0000.
Email
*
example@example.com
Ball Machine Use Date (If you would like to use the equipment more than one day, please list additional dates in the notes area. Thank you.)
*
-
Month
-
Day
Year
Date
Requested Use Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Would you like to use the oscillator?
*
No
Yes
Additional Use Dates or Notes
I agree to use the equipment in a safe, responsible manner.
*
Yes, I understand I am responsible for the equipment and will return it in good condition by the return date (to be determined by the Club). I further understand that there are inherent risks associated with using the equipment, and I do not hold the Club responsible.
Submit
Should be Empty: