Optional Physics Textbook Sign-Out Form
(This form is to be complete in class, with the teacher, student and book present.)
Please fill in every entry.
Please check the agreement box at the bottom to signify your agreement to take responsibility of the book.
Student ID *
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Course enrolled in *
Class Period *
In what hour are you enrolled?
Book Title *
Your answer
Book Number *
found written on the bottom edge of the book.
Your answer
Check-in Condition of Book *
WAIT for your teacher to tell you what condition to input
Check-in Condition of Book Binding *
WAIT for your teacher to tell you what condition to input
Specific problems with Book at check-in *
Describe any problems already evident with the book when you receive it. Enter "None" if no problems exist. This is a record of pre-existing problems, so you won't get charged at the end of the year for excessive wear-and-tear.
Your answer
Agree by typing in your initials *
By entering in your initials, you agree to take full responsibility the book condition and agree to pay to fix or replace the book if it is damaged or lost.
Your answer
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