NH Video Game Library Reservation Form

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This form is for New Hampshire Librarian use ONLY. Reservations may be made for library programming, not for personal use. Filling out this form does not guarantee a reservation. All reservations will be confirmed via. email. Questions? Contact Exeter Public Library : (603) 772 -3101

Email *

Option 1

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Contact Name (First, Last)

Your Library

Contact phone (please include area code)

Reservation Beginning Date (1st Day Need Device) *

YYYY

Reservation End Date (Last Day You Require Device)

YYYY

What would you like to reserve? (Check ALL That Apply) *

Nintendo Switch

VR Headset (PlayStation 5 Required to use VR Headset, please select both options when reserving Headset)

PlayStation 5

Xbox Series X

Video Game

Required

If you are requesting a specific game, please provide the title of the game and the system you will be playing the game on. WE CAN NOT GUARENTEEN GAMES WILL BE AVAILABLE, but will do our best to provide as close a match as possible to the original request.

Anticipated age of participants (for Statistical Use)

Child Age 0 - 10

Teen Age 11 - 17

Adult Age 18 +

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Send me a copy of my responses.

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