Nature to You Loan Program
*** Checkout Form ***
Reservation Number: 795

Member Details
Family Day
Mem Expires: Monday, January 31, 2022
Mem ID: 941
Loan Details
PickUp: Saturday, March 30, 2019
Return: Saturday, March 30, 2019
Created: Tuesday, April 2, 2019

6 Specimens

Specimen Item Number Shelf
Desert Cottontail ED-100-0199 42C
Acorn Woodpecker ED-100-2021 43B
Tyrannosaurus Rex Tooth Cast, Jaw ED-100-0707 R10
Insect Mix ED-200-0609 R4
Plant Germination Kit ED-600-0030 Kits
Western Rattlesnake ED-100-0572 13C

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 |