Date Booked Kit Staff Student Date to be Booked Staff Student

needed out at sign sign returned in at sign sign

28th 9.15am Project J. Bland First day 4.30pm J. Bland
December or back in
January
28th 9.15am Compu J. Bland First day 4.30pm J. Bland
December ter back in
January
28th 9.15am Lighting J. Bland First day 4.30pm J. Bland
December back in
January

I understand that I am responsible for the costs of any loss or damage

to the equipment whilst in my possession.

Signed : J.Bland

Print : James Bland

16th December 2016