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Equipment Checkout Form
Please fill out the info below to begin the checkout process for this equipment.
First Name
Last Name
Email
Organization
Phone Number
Location
What city will this equipment be used in?
Selected Equipment
All of the above
Timeframe Requested
When will you need this equipment? Please include general timeframe, specific dates, etc.
How do you plan to use the equipment?
Please briefly share with us how you will use the equipment or any other information you think we might need.
Disclaimer
Yes
I agree to supervise the equipment being borrowed. If an item is damaged, missing, or fails to function properly, I will notify the Kansas Energy Program (KEP) as soon as possible. Failure to report any issues may prevent other teachers from making full use of the equipment.
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