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Equipment Checkout Form

Would you like to check out a piece of equipment? You will receive an answer from the Athletics staff within a few days. Please provide the following information:


Date needed (mm/dd/year): 
Time of day needed (ex. 3:15 p.m.): 
Your name:
Your email:
Your on-campus extension: ext.
Items to be checked out:





If Other, list here:
How many items needed?
Expected return date (mm/dd/year):
Any additional information you would like to provide?
TODAY'S date:
Your "signature": (Typing in your name will suffice as your signature.)
 
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