Textbook Check Out Records
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School Year *
Last Name *
First Name *
What is your grade? *
Write the three digit number after the "9" on your book. *
for example  9-127   you would write "127"
please describe any damage that is already done to your book.
Be specific as this information will be used to determine book fines at the end of the year.  Check the binding, pages, cover, and outside of book
What is today's date? *
use this format  09/07/17
What hour are you in? *
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