Teacher Loan Form

2. 

4. Teacher Loan Form

6. Notice:

   1. Please give at least one week of notice on loans.
   2. Please request a “Vacation Loan” at Circulation Desk at time of check out. This allows books to be checked out for four weeks and may be renewed ONE time for an additional two weeks.
   3. OVERDUE BOOKS WILL BE SUBJECT TO A FINE OF $.20 PER BOOK PER DAY.

10. First Name

11. Last Name

13. Phone Number

14. School Name

16. Email Address

17. Date you will pick up books*

    Very Important: Any books not picked up within THREE days will be shelved so that others may use them.

19. Number of Books*

20. Check all that apply*

    1. Fiction
    2. Non-fiction
    3. Both fiction and non-fiction
21. Grade level*

23. Book subject(s)/topics*

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field