Please provide the name of the kit you would like to check out:*Date you need kit:* MM slash DD slash YYYY Date kit will be returned:* MM slash DD slash YYYY Borrowed material must be returned the same condition in which it was received. By signing here, you accept responsibility for the replacement or repair, including any associated costs, of any material(s) that became damaged, lost or stolen while in your care.Name:* First Last Agreement* I am at least 18 years of age I am the above named individual I will hold responsibility for the reserved kit Today’s date:* MM slash DD slash YYYY Phone:*Email:* School/Program Affiliation:*CAPTCHANameThis field is for validation purposes and should be left unchanged.