Student Textbook Request Form

Student Textbook Request Form
Student Name
First NameLast Name
Student ID
School Name
Student Grade
Student Email
example@example.com
Student Phone Number
Please enter a valid phone number.
Student Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
What are the textbooks requested? Please list them all.
Which day would like to pick up the textbooks?
MondayTuesdayWednesdayThursdayFriday
Parent Name
First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Dear Students and Parents,
Student textbook checkout is generally optional for the classes. The majority of core and elective courses have online versions of the books for student use. Requesting your own set of textbooks also necessitates a great responsibility. Lost, stolen, or damaged books will be your financial responsibility.
The cost of each textbook can differs and range from $30 - $150.
Should be Empty: