Lending Library Lending Library Form Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Email Address* Parent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Phone Number*Do you have internet access?*YesNoWhat is your Region?*ABCDEFGHIJKWhat is your Agency or School?*Address* Street Address City State / Province / Region ZIP / Postal Code Why are you interested in eSports?*Equipment Requested*Xbox Bundle (Console and 1 Controller)Xbox One ControllerDo You Need Additional Controllers?*I Don't Need Additional Controllers1 Controller2 Controllers3 ControllersBy checking this box, you agree to the rental terms. Equipment will be lent out for 3-months. After this period, you will be responsible for returning equipment in excellent condition & working order. If equipment is broken, you will be liable for purchasing the equipment.* I Agree Our Sponsors:
