Technology Equipment Use Form

Technology Equipment Use Formj

 Name:

Email:

Today's Date:

Date/Time to be used:

Equipment to be used:

Is this equipment from the:

Elementary

Jr/Sr High School

I agree to pay a $100.00 deposit fee 

I agree to pay for any damages to the equipment or replace damaged equipment 

______________________________________________________________________________

To be filled out by administrator:

Name of Administrator: 

 Approved 

Not Approved 

 



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