Communication Studies Equipment Checkout Form Equipment #/qty Equipment #/qty
Name[
Email[
Communication Studies Equipment Checkout Form
] Student ID [
]Date of Return [
] Phone[ ]
] Time of Return[ ]
Equipment #/qty Equipment #/qty
Please indicate with item number or quantity next to each item
Camera
JVC 700 (4)
JVC 100 (2)
Canon 60D (3)
Canon 70D (1)
GoPro Hero 2 (1)
GoPro Hero 3 (1)
GoProHeroW 3 (2)
Camera Accessories
JVC 700 Tripods (4)
Tripods (3 LG) (6 SM)
Gorilla Pods (4)
Monopod ( 3 )
Batteries JVC 100 (6)
Batteries JVC 700 (12)
Batteries Canon 60D (5)
Audio
H1 Zoom (8)
H4n Zoom (8)
Lighting & Grip
Silver Light Kit (2)
Black Light Kit (2)
Blue Light Kit (2)
Big Sandbags (7)
Little Sandbags (4)
C-Stands/Gobo (3)
Skrim Kits (2)
Reflectors (2)
Microphones & Accessories
Boom Mic Kit/Pistol Grip (3)
Wireless Lav Kit (5)
Rode VideoMic Pro Mic’s (5)
Boom Mic (4)
Wireless Handheld Mic (1)
Wired Handheld Mic (3)
Mic Stands (6)
Fishpoles (5)
Headphones (7)
XLR Cables
Equipment
Lenses & Filters
18-135 MM (2)
18-200 MM (2)
50 MM 1.4 (2)
17-55MM 2.8 IS (3)
10-22 MM (1)
70-200 2.8 MM (1)
24-70 MM (1)
16-35 MM (1)
16-28 MM 2.8 (1)
Variable ND (_____mm)
Static ND (____mm)
Miscellaneous Items
Slider (1)
Glidecam (1)
Wheel Mount (1)
Gimbal (1)
Camera Hand Grip (3)
Jib (1)
LCD Monitor (2)
Intervelometer (1)
Gaff Tape/Closepins
Clapper Boards
Markers/Erasers/Bags
#/qty
If there were any issues with the equipment please summarize here:
Signature: __________________ Date: ____________ Time out: __________________
Signature: __________________ Date: ____________ Time returned: __________________
I understand that my signature above verifies that I have returned all equipment listed above in good working condition, unless otherwise indicated in the space provided on this form.
