KSS Equipment Check-Out Form

Use this form to request equipment to be checked out. The requested equipment will be available at the KSS main office. PLEASE PLACE YOUR REQUEST 24 HOURS IN ADVANCE!
Note that the equipment being checked out should be used for school work only.

Contact Information
Name Name * First Last
Email *
Equipment PICK-UP Date & Time
Date Out Date Out * / MM / DD YYYY

Enter the date you will pick-up the equipment from the KSS Main Office (2504).
Time Out Time Out * : HH MM AM/PM

Enter the time you will pick-up the equipment from the KSS Main Office (2504).
Equipment RETURN date & Time
Date In Date In * / MM / DD YYYY

Enter the date you will return the equipment to the KSS Main Office (2504).
Time In Time In * : HH MM AM/PM

Enter the time you will return the equipment to the KSS Main Office (2504).
List your equipment below *

Use this field to list the equipment being checked-out. MAKE SURE TO PROVIDE QUANTITIES.

Example:
- Plastic Skinfold Caliper (3)
- Flexibility Box (2)
By checking the box below, I acknowledge that all equipment listed above will be used for school work ONLY. *

By checking the box below, I acknowledge that all equipment listed above will be used for school work ONLY. I Agree.

KSS Equipment Check-Out Form

KSS Equipment Check-Out Form

Contact Information

Equipment PICK-UP Date & Time

Equipment RETURN date & Time