Region 16 Lending Library Checkout Request 25-26
  • If you would like to check out any of our available resources - fill out this form and we will be in touch!
  • Limit of 3 items per person per checkout
  • PLEASE do not come to pick up items until we have confirmed your request via email.
Email *
Name *
Email *
District *
School *
How did you hear about us? *
Required
Requested Pick Up Date *
MM
/
DD
/
YYYY
Requested Item #1 
(Please put item number for task boxes)
Requested Item #2
Requested Item #3
Are any requested items AAC? *
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