Jackson County Comprehensive High School

Audio/Video Technology and Film

Student Equipment Checkout Release Form

Student Name (print) ______Student ID # ______

This release form is for the 2015-2016 School Year

Jackson County Comprehensive High School Audio/Video Technology and Film equipment may be checked out under the following conditions:

  1. Only current AVTF 2 - 4 students may check out video equipment. Equipment may only be used for class related purposes and not by anyone other than the student who checked out the equipment.
  2. Reasonable care of checked out equipment should always be exercised (protection from theft, loss or damage).
  3. All damaged equipment must be reported upon check in. Student failing to do so will forfeit the use of equipment in the future.
  4. In the event of loss, theft, or damage due to the negligence on the part of the student, arrangements will be made with the parent/guardian for repair or replacement.
  5. Generally, Jackson County schools and JCCHS will cover the cost of minor repairs; however, in the event extravagant repairs due to negligence, the parent and/or student will assume responsibility for repairs not covered.
  6. Equipment may be checked out at the end of the school day by 3:30 pm and must be returned the following morning by 8:00 am to the AVTF room (E-18). An exception to this rule is equipment checked out on Fridays, whereas it must be returned the following Monday by 8:00 am. Because this equipment is needed for instructional purposes during class, students who do not return equipment the following day will lose their privilege to check out equipment.
  7. As a policy, equipment will not be provided for use over holidays or extended periods of time.

By signing this form, my son/daughter and I understand that he/she is expected to be responsible in the use of the checked out video equipment and to exercise proper care of the equipment. If the equipment is lost or damaged due to his/her negligence, I/we will cover the cost of repair or replacement.

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Parent SignatureParent email address

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Student SignatureDate