Maker Material Loan Request
Complete the form below to indicate the items you would like to borrow from Wayne RESA. Based on availability, the items will be checked out to you and arrangements will be made for pick-up. We have one of each item unless otherwise noted. Please see the Materials List for additional information about each item.
Materials List - https://goo.gl/0y2Gwi
Be sure to double check the Materials Availability Calendar to make sure the items you wish to borrow are not already spoken for on the dates you are requesting.
Materials Availability Calendar - https://goo.gl/QwvaxR
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
District *
School *
Your answer
Grade Level/Subject Area *
Your answer
Beginning Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
Check All of the Items You Wish to Check Out
Select how many Bloxel sets you need.
Select how many Dash robots you need.
Select how many Dot robots you need.
Select how many accessory packs you need.
Select how many Building Brick Connector sets you need.
Select how many Xylophones you need.
Select how many Makedo Kits you need.
Select how many Makey Makey sets you need.
Select how many Inventor Booster Kits you need.
Select how many sets of Alligator Clips you need.
Select how many Sphero robots you need.
Select how many VR Viewers you need.
Select how many Osmo sets you need.
Select how many Breakout EDU sets you need. Please indicate what game you'd like the locks set for in the notes section.
Additional Notes
Your answer
Check the box below indicating you that you agree with the terms and use of Wayne RESA.
I understand that I am responsible for the materials borrowed and agree to return all items to Wayne RESA in the condition in which I received them, by the agreed upon due date. This includes properly packing materials in the packaging provided. *
Required
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