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VISUAL ARTS DEPARTMENT:

Permission to sign-out equipment


Dear Parent/Guardian:
Your student is enrolled in _______________________ and may need to
(title of class)
sign-out school equipment to complete various assignments. While the
equipment is being used by your student, they are assuming full
responsibility for it throughout the duration of time that they have it
signed out. If the equipment is lost or damaged, the fee listed below will
be due by check made payable the City of Peabody in order for your
student to receive a grade for the class.
Equipment that may be borrowed includes:

Tripod $240
35 mm SLR camera $180
DSLR camera $600
Digital Camera $275
Video Camera $420
Camera Battery $20
Battery Charger $20
Lighting Kit $245
Flash $100
Shutter Cable $10

Please sign below to indicate that your student has permission to borrow
school equipment throughout the semester that they are enrolled in the
class listed above.
Name of Student: ______________________________________________
Name of Parent/Guardian: _______________________________________
Signature of Parent/Guardian: ____________________________________
Date Signed: __________________________________________________

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