Lizards Lounge Equipment Request

Your Name:*

First NameLast Name
NSHE ID (Student ID Number):*
Email:*
example@mail.tmcc.edu
Phone Number:*
Please enter a valid phone number.Format: 000-000-0000.
XBox Series XNintendo SwitchPS5Billiards SetBoard Game(s)
Details (Optional):
Certification and Acknowledgment

By pressing submit, I acknowledge that I have read and understand Lizards Lounge community standards. I agree to follow all rules and procedures while using game room equipment and facilities. I understand that failure to do so may result in the loss of game room privileges.
Please verify that you are human:*
Sender Name:
Should be Empty: