Audiovisual Request Form

All requests should be made at least one day prior to use of equipment. Thank you for your cooperation.

Teacher: _________________________________

Date Equipment Needed:  _____________________

Room(s): _________________________________

Class Periods Needed: _______________________

Equipment Needed

(   ) camcorder

(   ) tripod

(  ) CD player

(   ) cassette recorder

(   ) DVD player

(   ) data projector/computer

(   ) digital camera

(   ) VCR

Please submit form to Karen Gardner.