Western Kentucky University Sport Club Uniform/Equipment
Checkout
Club: _______________________________________
Name
Signature
Date Issued
Item Issued/Item Number
Condition
When Issued
(good, fair, poor)
Date
Returned
*This is to be used by those responsible for the equipment for each club to ensure that items checked out to individual members are returned.
**The individual receiving the equipment should sign their name verifying that they have received the equipment in question.
***Individuals not returning their equipment in satisfactory condition will have holds placed on their Western Kentucky University accounts.
Condition When
Returned
(good, fair, poor)