Mask Extender Request Form

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The Mariemont High School Maker-Space is making mask extenders for our front line heroes. If you need any for your PPE stash please use this form to let us know, we want to help.

Email *

Industry/Use? *

Doctor

Nurse

Hospital Administration

EMS service

EMT

Medical Lab Tech

First Responder (non-EMS)

Grocery/Restaurant

Other:

How many do you need *

Where/when/how can we drop them off? *

Your name? *

Is there anything else we can do to help out?

These devices are provided free of charge to medical professionals and first responders and other front line workers; no promises are made regarding this device. Mariemont City Schools and any employees, students, or other representatives of the district, as well as anyone associated with the makerspace, assumes no liability for the use of this device. *

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