Student Name______________________ Teacher__________________________ Book Name________________________ Book Number______________________ Block ____________________________ Date Checked Out__________________
Book Condition Please list any defects or irregularities
in this book. The book will be checked in at the end of
the
* torn * creased * marked * water damaged * dented * missing * loose
BINDING_____________________________________________________________
OUTSIDE COVER______________________________________________________
OUTSIDE PAGES (top, side and bottom)_____________________________________
INSIDE COVER AND WHITE PAGES (front and back)_________________________ _______________________________________________________________________
PAGES________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _________________________________________________________________________________ ____________________________________________________________________ |