STUDENT INFORMATION FORM
Without filling out this information you will not be able to use the Checkout reservation system.  We use the information in this form only to assign you the appropriate equipment in the reservation system.
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Email *
Email 2 *
(non-pipeline)
SBCC Promise

Check this box only if you are eligible for the SBCC Promise Program
Name *
First and Last
Student K Number *
Phone Number *
Address *
Apt # (if applicable)
City *
Zip Code *
Photo Classes *
Select all SBCC Photography classes you have taken including the current semester. 
Required
Date *
MM
/
DD
/
YYYY
Read & Sign
I have read and understand the Check Out Rules. I agree to abide by the rules. I agree to pay any late fees I accrue, and I agree to pay for the replacement or repairs of any equipment lost or damaged while checked out to me.
Digital Signature *
I have checked "send me a copy of my responses below" *
Checking the "send me a copy of my responses below" will send this form to your email
A copy of your responses will be emailed to the address you provided.
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