Camera Checkout Form

 
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 Camera Checkout Form 

 
  Items denoted with a red asterisk * are required.
   
  BVSW Camera and Equipment Checkout Form
   
1.
  Select Date
mm/dd/yyyy
   
2.
*
 

 

 

 
   
3.
Address 1
 
   
4.
Address 2
 
   
5.
City
 
   
6.
State
 
   
7.
Zip Code
 
   
8.
(XXX)-XXX-XXXX
 
   
9.
*
By filling out this form I am requesting to check out a camera and/or camera equipment through Blue Valley Southwest High School for class assignments only. I understand that any damage caused to the equipment checked out will be my responsibility to get repaired as soon as possible. If any part of the camera is lost, stolen, or damaged beyond repair, then I will be charged up to $400 or will be responsible for replacing the exact model of camera or parts that are damaged or missing.
 
   
10.
 


   
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