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.)

Please note that you must also arrange to drop off your items to us. Please go to repairclarkcounty.org, click on "see event schedule" and choose an event that will work for you. Click on the link to register.

After your items have been dropped off, you can check the status at any time by going to repairclarkcounty.org, click on check item status and input your email address. This will show you the status for any items you've had in our program within the last year.

Questions? Email repair@columbiasprings.org 
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
I have read, understood and agree to the Liability and media release *
Required
I have read, understood and agree to abide by the Safety precautions required for this event.  *
Required
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.)
Clear selection
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)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy