Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 1151

Member Details
Adult Programs
Mem Expires: Friday, February 21, 2020
Mem ID: 1047
Loan Details
PickUp: Friday, September 20, 2019
Return: Saturday, September 21, 2019
Created: Tuesday, September 3, 2019

6 Specimens

Specimen Item Number Shelf
Gray Fox ED-100-0182 41D
Southern Pacific Rattlesnake ED-100-0791 13C
Woodrat and Nest ED-100-0173 61C
White-lined Sphinx Moth ED-200-0155 R22
Ringtail ED-100-0169 52C
Golden Eagle ED-100-0031 21D

I, as a member of the Nature to You Loan Program, accept full responsability for all materials described above, while in my possesion, I agree with and accept all pre-existing damage reports as noted on this form. I have received, reviewed, and agree to comply with the Loan Program's "Membership Policy".

Late fee: $2 per specimen, per day.

Signature: __________________________________

Released by: ________________________________

Returned: ___________________________________

Received by: ________________________________

Nature to You Loan
School Year Hours: 2:30-5:30 PM Monday-Friday | Summer Hours: 12:30-3:30 PM Wednesday | Phone: 619.255.0236 |