Curry County Voices Equipment Check-In Form
This Form must be completed by a Curry County Voices Mentor for every check-in.
Email address *
Date *
MM
/
DD
/
YYYY
Name *
Your answer
Phone Number *
Your answer
Physical Address *
Your answer
Kit Number *
Kit Color *
Kit Description *
Replacement Cost *
Expected Check-In Date *
MM
/
DD
/
YYYY
Actual Check-In Date *
MM
/
DD
/
YYYY
Items Checked In by Member *
Yes
No
Not Applicable
JVC Camera
Camera Case
Camera Handle
Camera Batteries (X2)
Camera Battery Charger
Camera Power Adapter
Camera Manual
Lens Cap
Shotgun Mic
Hot Shoe Riser
Movo Lavaliere Mics (X2)
Movo Lavaliere Transmitters (X2)
Movo Lavaliere Receivers
Movo Lavaliere Case
Movo Lavaliere Cables
Movo Lavaliere Manual
Tripod Base
Tripod Plate
Tripod Bag
Tripod Arms (X2)
GVM Light (X3)
Light Stands (X3)
Light Kit Batteries (X6)
Light Kit Battery Chargers (X3)
Light Kit Barn Doors (X3)
Light Kit Diffusion Plates (X3)
Was there damage or loss during this check out period? If yes, please fill out the next question and an incident report form. *
Description of Damage or Loss
Your answer
Mentor who performed this Checkout. *
A copy of your responses will be emailed to the address you provided.
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