End-of-Year Classroom Checkout Form
Complete this form to finalize your classroom responsibilities, return materials, and confirm any follow-up needed before the end of the school year.
Student Name
*
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
List of classroom materials to be returned (check all that apply):
*
Textbooks
Library books
Classroom novels
Math manipulatives
Science kits
Technology devices (laptop/tablet/charger)
Art supplies
Sports equipment
Other
Are any materials missing or damaged?
*
No, all items returned in good condition
Yes, some items are missing
Yes, some items are damaged
If any items are missing or damaged, please list them below:
Have you cleaned out your desk, locker, or cubby?
*
Yes, completely cleaned out
No, items remain
Are there any outstanding obligations (library fines, classroom fees, etc.)?
*
No outstanding obligations
Yes, will resolve separately
Do you need to arrange a follow-up with the teacher or school office?
*
No follow-up needed
Yes, please contact me
Preferred contact method for follow-up (if needed):
Please Select
Email
Phone
Other
Additional comments or notes
Submit Checkout
Should be Empty: