Mrs. DeBusk's Book Checkout
MUST COMPLETE BEFORE LEAVING CLASS!

Please also verbally tell me which book you checked out  :) ***Please make sure that you try to finish and return the book within 2 weeks.***

By completing this form, you agree that you are responsible for the book and its safe return back to my shelves.
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Your First and Last Name *
Book Title *
Author Last Name *
Today's Date *
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