The signature below certifies thefollowing two items:
That I have received the 2011-2012 Student Planner & Handbook and that I acknowledge that I amresponsible for its contents;That I hereby request the loan of secular textbooksin accordance with Public Act 79-961 of 1975, Stateof Illinois. The books will be used while the studentnamed below is enrolled in Oak Park and River ForestHigh School, District 200, Cook County. The booksare the property of the State and are collected at theend of the course. If the books are lost or stolen, I amresponsible to pay the replacement cost.
Signature: _____________________________________________________ID #: __________________________________________________________