Form Center

2. Form Instructions

   Submit this form to borrow YS Maker Materials. These materials are available for use in programs conducted by library staff only.  When requesting Dash & Dot, Cubelets, or SPHERO SPRK, please request the number of iPads you will need (up to 5), unless you will be using your own devices. iPads have additional apps loaded for Bee Bots (game) as well as Design Squad Maker, iMovie, photo apps, and more. 

   The form should be submitted at least 7 days in advance of program. Please remember to allow time to familiarize yourself with the equipment when making your reservation. 

   The form will be submitted to April Nickel. Thanks for your cooperation.

4. Please choose a library.*
   -- Select One --AtglenAvon GroveBayard TaylorChester CountyChester SpringsCoatesvilleDowningtownEasttownHankinHoney BrookMalvernOxfordPaoliParkesburgPhoenixvilleSpring CityTredyffrinWest Chester
6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. Program Date*
    Program Date
14. Method*

    1. Pick up
    2. Delivery
16. Pickup/Delivery Date*
    Pickup/Delivery Date
17. Return Date*
    Return Date
19. Equipment needed*

    1. Set #1 Bee Bots (6 Bee Bots)(ages 3+)
    2. Set #2 Bee Bots (6 Bee Bots)(ages 3+)
    3. Bee Bot 6x6 grid
    4. Bee Bot Pirate Island
    5. Brainflakes (2 containers)(ages 5+)
    6. Brainflakes (3 containers)(ages 5+)
    7. Cubelets six – Robot Blocks (2 sets) (ages 8+)
    8. Cubelets Twenty – Robot Blocks (ages 8+)
    9. Set #1 Dash & Dot Wonder Pack, Accessories Pack, Launcher, and Xylophone (ages 8+)
    10. Set #2 Dash & Dot Wonder Pack, Accessories Pack, Launcher, and Xylophone (ages 8+)
    11. Set #3 Dash & Dot Wonder Pack, Accessories Pack, Launcher, and Xylophone (ages 8+)
    12. Set #4 Dash & Dot Wonder Pack, Accessories Pack, Launcher, and Xylophone (ages 8+)
    13. Set #5 Dash & Dot Wonder Pack, Accessories Pack, Launcher, and Xylophone (ages 8+)
    14. GoldieBlox – Builder’s Survival Kit (ages 7-12)
    15. iPad
    16. iPad
    17. iPad
    18. iPad
    19. iPad
    20. Set #1 Keva Planks Building Set (2 bags) (all ages)
    21. Set #2 Keva Planks Building Set (2 bags) (all ages)
    22. Set #3 Keva Planks Building Set (2 bags) (all ages)
    23. Keva Planks Color Pop set (100 p.) (all ages)
    24. Set #1 K’Nex 52 Model Building Set (ages 7+)
    25. Set #2 K’Nex 52 Model Building Set (ages 7+)
    26. K’Nex Creation Zone (ages 7+)
    27. Let’s Go Code Activity Set (ages 5+)
    28. Little Bits Premium Kit (14-bit modules) (ages 8+)
    29. Set #1 Magnatiles (200 p.)(ages 3+)
    30. Set #2 Magnatiles (200 p.)(ages 3+)
    31. Set #3 Magnatiles (200 p.)(ages 3+)
    32. Handheld Microscope Kit (3 microscopes, blank slides, Plant Prepared slides set)(ages 8+)

    1. Newspaper Builders (236 p.) (ages 4+)
    2. Padcaster Set (includes Padcaster case, 1 iPad, 1 tripod, Camera Backpack with unidirectional microphone, wide-angled lens, and connection cables)
    3. Padcaster Green Screen
    4. Padcaster Case shade cover
    5. Padcaster tripod dolly wheels
    6. Q-BA-Maze 2.0 Big Box (ages 6+)
    7. Rigamajig Jr. (ages 5+)
    8. Roominate Deluxe: Wired Dollhouse Building Kit (ages 6+)
    9. Set #1 Snap Circuits Junior (ages 8+)
    10. Set #2 Snap Circuits Junior (ages 8+)
    11. Set #1 Snap Circuits Extreme (ages 8+)
    12. Set #2 Snap Circuits Extreme (ages 8+)
    13. Set #3 Snap Circuits Extreme (ages 8+)
    14. Set #4 Snap Circuits Extreme (ages 8+)
    15. Set #5 Snap Circuits Extreme (ages 8+)
    16. Set #1 Snap Circuits Light (ages 8+)
    17. Set #2 Snap Circuits Light (ages 8+)
    18. Set #3 Snap Circuits Light (ages 8+)
    19. Set #4 Snap Circuits Light (ages 8+)
    20. Set #5 Snap Circuits Light (ages 8+)
    21. Snap Circuits Motion (ages 8+)
    22. STEM Science Lab – Alarm Your Pencil Box Lab (ages 9+)
    23. STEM Science Lab – Don’t Lose Your Marbles (ages 9+)
    24. STEM Science Lab – Space lander Activity Lab (ages 9+)
    25. STEM Science Station – Magnets (ages 4+)
    26. STEM Science Station – Motion (ages 4+)
    27. STEM Science Station – Sink or Float (ages 4+)
    28. SPHERO SPRK Lightning Lab (3 Sphero robots, turbo cover, chariot, nubby)(ages 8+)
    29. STRAWBEES school kit (ages 6+)
    30. Straw Builders by Smart Builders (ages 5+)
    31. Set #1 Tumble Tree Timbers (300 p.) (ages 3+)
    32. Set #2 Tumble Tree Timbers (300 p.) (ages 3+)
21. Special Notes
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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