Earth Science Field Course Gear Loan Request
Please answer all of the questions below. All gear is borrowed from the UCSB Adventure program and must be picked up and returned directly to them. Shannon Dalton will email you once your request is approved, which will then allow you to pick it up. 

A request must be filled out for each trip, even if there are multiple trips per quarter. Gear must be returned at the end of each trip and cannot be kept for the entire quarter. 

The department will cover the cost of the rental. Failure to return any gear will result in a BARC charge directly to your account. 
Email *
Email *
Full Name *
Perm Number *
Quarter *
Trip Dates *
Course This Request is For *
Please check all of the items you are requesting to borrow *
Required
If requesting a tent, what size? 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of California, Santa Barbara.

Does this form look suspicious? Report