Locker Repair/Request Form
Directions: Fill out the form and submit it. The custodian will be notified and you will be emailed once the repair/request has been made. If the problem cannot be fixed, another locker will be issued by the Front Office.
**Estimated time when locker will be repaired is within 1 school week of submission of this form.
Email address *
Untitled Title
Student Name ( first and last) *
Your answer
Student ID *
Your answer
Grade *
Please Select one of the Following *
Locker Number ( letter and number)-if you have one
Your answer
Locker combination - if you have one-
Your answer
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