Repair Clark County
RCC pre-registration-Please complete this form for any items you are planning to drop off for repair (separate form for each item. Exception: sharpening and sewing projects-you may bring 3 items for each form submitted.)
I have read, understood and agree to the liability and media release:
I have read, understood and agree to abide by the safety precautions required for this event:
(Please note: masks are REQUIRED for all participants any time you are interacting with RCC staff or volunteers.)
Please indicate what type of item you're bringing for repair.
If bringing more than 1 item, please fill out multiple form submissions. Please make sure the items you're bringing can be easily carried by one person. (Sorry-we cannot work on gas engines or microwaves.)
sewing (hems, rips, tears)
appliances (lamps, toasters, etc.)
sharpening (knives, scissors, garden tools, etc.)
other (jewelry, household decor, etc.)
Please tell us what you are bringing us and anything about your items we should know: Do you know when the item stopped working? What's wrong with it? etc. Please tell us as much as you can and if you know the repair needs certain parts, please bring them with you to drop off. Example: Lamp-inline switch isn't working anymore. Bringing replacement switch.
How did you hear about the event? (Check any that apply)
Columbia Springs newsletter
A copy of your responses will be emailed to the address you provided.
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