Digital Photography Camera Checkout Digital Signature
*This form must be signed and returned prior to the student checking out a camera.
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I have read and understood the information contained in the Camera Checkout Form found on Mr. Brainerd's site and agree to abide by the rules set forth in that document. I understand this is considered an electronic signature. *
Required
Student’s Name *
Student’s Grade *
Student’s Signature *
Type Full Legal Name
Date *
MM
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YYYY
I understand that my student is to follow the guidelines listed above while using the school's digital photography equipment. I agree to assume financial responsibility for the equipment my son/daughter has checked out. I will pay for any repairs needed, due to negligence, when the equipment is in my son or daughter’s control. I also agree to pay for or replace with comparable equipment, any items lost or stolen while in my child’s care. I understand this is considered an electronic signature. *
Required
Parent/Guardian Name *
Parent/Guardian Signature *
Type Full Legal Name
Date *
MM
/
DD
/
YYYY
Best phone number if I need to contact you: *
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