Patron Registration Form
Beginning Summer 2016, Barnard IMATS will begin using a new, more efficient checkout system for our equipment room. If you are a Barnard/Columbia student, faculty, or staff and would like to reserve equipment from IMATS, please completely fill out the registration form below, noting the statement accepting financial responsibility for loss, damage or late return of the College’s equipment which requires an acknowledgement and acceptance of its terms. Any incomplete registration forms will not be accepted. If you have any questions, regarding our hours and policies, please contact us at or visit our website at
Name (First & Last) *
Your answer
Your answer
Barnard / Columbia Email *
Your answer
Phone Number *
Your answer
Affiliation *
Status *
Graduation Date *
e.g. May 2018 (If you are not a student, please write "N/A")
Your answer
Student Account ID Number *
IMPORTANT*: This is different from UNI but does not apply to Columbia faculty/employees. For Barnard students and employees you can find it through portal under "Academics" (or "Administration" for employees) and then "My College" profile. for Columbia students it is a 9-digit number, which is always preceded by the letter C, that you can find in SSOL > "Academic Profile" > "Show my name and personal data." If you cannot find your ID number or if this does not apply, please write "N/A," but beware that we cannot lend out equipment to you until we have your ID number.
Your answer
ID Card Number/Barcode *
This is the 9-digit number on the back of your ID card. If you cannot find your ID Card Number or if this does not apply to you, please write "N/A" and bring your identification to the IMATS window.
Your answer
Are you in a Barnard film class? Please put the class number. *
Your answer
Would you like to join the IMATS/Media Center list-serv to receive info on workshops and events? *
Acceptance of Responsibility *
I agree to accept full financial responsibility for each item of IMATS equipment, including accessories, each time I check out from IMATS. I agree to exercise care when handling all IMATS equipment. I agree to return all equipment borrowed from IMATS by the agreed upon date and in the same condition as received. I agree that late returns of IMATS equipment will be subject to fines payable to the College. I agree to pay the College for any and all repairs, damages or loss of the equipment, up through and including full replacement costs, as indicated by the sole assessment of IMATS, upon return of the equipment.
Please write your e-signature in the box below to accept and agree with the terms in the above paragraph. *
Your answer
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