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Equipment Checkout Form

  1. Equipment Checkout Form

  2. Please add library card barcode.

  3. I am over the age of 18 and have a library card in good standing.*

  4. I accept responsibility for the security of the item selected below and associated equipment, if any, while I have it checked out.*

  5. I have received the equipment in good working condition and will alert library staff immediately if the equipment or any of the associated equipment are damaged, missing, or malfunctioning.*

  6. I understand that the checkout period is 14 days and that I will be assessed a late fee of $5 per day if the equipment is not returned by the due date.*

  7. I understand that the replacement cost of the selected equipment is as described in this form.*

  8. I understand I will be billed up to the full cost of the selected equipment if it is not returned or is damaged while in my custody.*

  9. Leave This Blank:

  10. This field is not part of the form submission.