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Supply Check Out Consent Form
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* Indicates required question
Name (First and Last)
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Your answer
Mailing Address (Street, City, State, Zip)
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Your answer
Email Address
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Your answer
Supply Kits need to be returned on time. I understand that both art and science kits may be checked out for one (1) week and are due back to the Blakemore Planetarium by 5 pm on their due date.
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Yes
Required
I am responsible for the care and condition of the supply kits in my possession. I understand that I will be held financially responsible for lost or damaged items. I will be invoiced for any charged incurred.
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Yes
Required
If I have overdue kits, I understand that I will not be able to check out kits again until all items have been returned or paid for.
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Yes
Required
By typing my name below, I agree that I have read and understand the above conditions for checking out supply kits.
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Your answer
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