Video Equipment Sign Out

Video Equipment Sign Out

The signout room is staffed M-F from 9am-4pm
Name *

First Name Last Name
University E-mail *
WSU Email
Secondary E-mail *
Phone Number *

Area Code Phone Number
Equipment Pickup Date *

Month Day Year
at
Hour Minutes AM/PM Option
I need this equipment for: *

Class Project TV Club Other (Must have written permission of a Dept. of Comm faculty member.)
My Class and Professor are:
Enter what class your are in and who the Professor is.
Describe your project and who has given your permission to use the equipment.
I would like to sign out: *

Panasonic ENG Camera Nikon DSLR Photo Kit (Photography) Canon Camcorder Kit (Broadcast Journalism) Tripod Wireless LED Light Kit Reflector Wall Power Adapter Field Chroma Key Background Field Black/White Background
Do you need microphones? *

Lavaliere Handheld Shotgun Boom
Number of handheld mics
Number of lavalier mics
By submitting this form I agree to return equipment by 4:00 pm one day after signing it out.

I am responsible for ensuring that any files that I may store on the loaned equipment are deleted before returning the equipment. I understand that files will not be retrievable after I return the equipment.

I assume full responsibility for the equipment while it is loaned to me and will immediately report lost or stolen equipment.
Should be Empty:

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