Zone Textbook Loan Contract
This is a contact for loaning textbooks from the Stan Gray Academic Athletic Zone at Pasadena City College. Please completely fill in the information below. You (the borrower) acknowledge by completing the document that you have read and understood each condition stated in the contract (ask the Zone staff for questions or concerns).
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Student ID Number *
The last 8 digits on your Lancer ID Card
Sport *
Contact Number *
Number that you can be reached at.
Email Address *
Course Title *
(ex. Engl 100)
Instructor's Name *
Textbook Title *
(ex. Health: The Basics Package w/ My Health Lab Access)
Zone Textbook Number *
You will need a Zone staff member to assist you with this infomation
Term of Usage *
I must return the textbook to the Zone counselor, no later than the Last Day of the term *
If I do not return the textbook for any reason, I will be charged the full purchase price of the textbook, plus a processing fee of $10. *
Please refer to a Zone staff member for the textbook purchase price
I must not write or mark on any part of the textbook. *
If I fail to return the book on time, and do not pay for it as described above, a hold will be placed on my student record.  Such a hold will prevent me from registering for any classes, will cause me to be dropped from any classes in which I am already registered and will prevent me from obtaining any transcripts *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy