Library+Passes

Library Pass  **PURPOSE **(Check One)  
 * ID Number ** ¨ ¨ ¨ ¨ ¨ ¨
 * PRINT **
 * Last **
 * First **
 * ¨ **** Book Checkout **** ¨ **** Book Return **
 * ¨ **** Computer Use (school related) **
 * ¨ **** Study **(Subject)
 * ¨ **** Research **<span style="font-family: Calibri,sans-serif;">(Topic)
 * ¨ ****<span style="font-family: Calibri,sans-serif;"> Other **<span style="font-family: Calibri,sans-serif;">(explain)
 * <span style="font-family: Calibri,sans-serif;"> //Teachers Signature DATE// **


 * <span style="font-family: Calibri,sans-serif;"> LEFT **<span style="font-family: Calibri,sans-serif;">class at:  **:**

<span style="font-family: Calibri,sans-serif;">
 * <span style="font-family: Calibri,sans-serif;"> RETURN **<span style="font-family: Calibri,sans-serif;">to class at:  **:**
 * <span style="font-family: Calibri,sans-serif;"> //Library Staff Signature// **