Resource Request Form
Contact Information
First Name
Last Name
Phone
Email
School Name
Resource Information
Resource Being Requested
Please select...
Bean Bag Toss & Impaired Goggles
Distract-a-Match
Distracted Perfection
Driving Simulator - select areas only
Stop! Stack the Blocks
Tabletop Simulator - select areas only
Tablets
VR Goggles
You can reserve up to 3 resources at one time.
Date Resource(s) Needed
Estimated Return Date
Read and review our
resource rental agreement
and then check the box below.
I have read and reviewed the rental agreement
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Contact Information