Equipment Request Form Organization/Individual Name Required Organization/Individual Address Required Date to be Checked Out Required Time to be Checked Out Required Date to be Returned Required Time to be Returned SOFS # (if applicable) Cost Object # (if applicable) I would like to rent: Sports Equipment Games Sports Equipment Available for rent: - None -Base SetBasketball - IndoorBasketball - OutdoorCones - FlatCones - TrafficDodgeballsFlip ScoreboardFootballFootball Flag BeltsKickballSoccerballSoftball 16"Softball BatStop WatchVolleyballVolleyball - SandWiffleball Bat & Ball Number of base sets you would like to check out: Number of indoor basketballs you would like to check out: Number of outdoor basketballs you would like to check out: Number of cones (flat) you would like to check out: Number of cones (traffic) you would like to check out: Number of dodgeballs you would like to check out: Number of flip scoreboards you would like to check out: Number of footballs you would like to check out: Number of football flag belts you would like to check out: Number of kickballs you would like to check out: Number of soccerballs you would like to check out: Number of softballs you would like to check out: Number of softball bats you would like to check out: Number of stop watches you would like to check out: Number of volleyballs you would like to check out: Number of sand volleyballs you would like to check out: Number of wiffleball bats and balls you would like to check out: Games Available for rent: - None -Bean Bag BucketzBocceCornholeGiant Bucket BallGiant Connect 4Giant DominosGiant FarkleGiant JengaGiant LCRGiant Pass the PigsGiant Pick-Up SticksGiant Table TennisGiant Tic-Tac-ToeKan JamLadder GolfMini Kan JamMollkkySpikeballTable Tennis Paddles/BallsTug-o-War RopeTug-o-War Rope (3-way)Washer TossYardzee Number of bean bag bucketz you would like to check out: Number of bocces you would like to check out: Number of cornholes you would like to check out: Number of giant bucket balls you would like to check out: Number of giant connect 4's you would like to check out: Number of giant dominos you would like to check out: Number of giant farkles you would like to check out: Number of giant jengas you would like to check out: Number of giant LCRs you would like to check out: Number of giant pass the pigs you would like to check out: Number of pick-up sticks you would like to check out: Number of table tennis you would like to check out: Number of tic-tac-toes you would like to check out: Number of kan jams you would like to check out: Number of ladder golfs you would like to check out: Number of mini kan jams you would like to check out: Number of mollkkys you would like to check out: Number of spikeballs you would like to check out: Number of table tennis paddles/balls you would like to check out: Number of tug-o-war ropes you would like to check out: Number of tug-o-war ropes (3-way) you would like to check out: Number of washer tosses you would like to check out: Number of yardzees you would like to check out: CONTACT PERSON First and Last Name Required NUID (if applicable) Phone Required Email Required I agree to return the above equipment in good repair and on the date and time due. I understand that I am liable for damages, loss and rental fees of the above listed equipment. The equipment will be used by me or persons in my presence and will not be sub-rented nor will be loaned to any other person. Upon presenting proper ID, the above equipment may be checked out. All items must be returned in the condition in that they were rented (in proper bags, no missing parts, etc.).Recreational sports equipment may be rented for a maximum of four weeks with prior approval. Please be advised of Nebraska Revised Statute: 28:551(3): “It shall be presumed that a lessee’s failure to return leased or rented movable property to the leaser after expiration of a written lease or written rental agreement is done with the intent to deprive (constituting theft).” Required Leave this field blank