2. Form Instructions

   Submit this form to borrow YS Maker Materials. These materials are available for use in programs conducted by library staff only.  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. Kit #1 - Handwriting Without Tears – Mat Man P-K & Kindergarten
    2. Kit #2 - Handwriting Without Tears – Mat Man P-K & Kindergarten
    3. Kit #3 - Handwriting Without Tears – Mat Man P-K & Kindergarten
    4. OBEYC Trunk 1 – A Splendid Friend, Indeed by Suzanne Bloom
    5. OBEYC Trunk 2 – Up, Down & Around by Katherine Ayres
    6. OBEYC Trunk 3 – If You Were a Penguin by Wendell & Florence Mino
    7. OBEYC Trunk 4 – What a Treasure! by Will Hillenbrand
    8. OBEYC Trunk 5 – Whose Shoes? By Stephen Swinburne
    9. OBEYC Trunk 6 – Stop Snoring, Bernard! by Zachariah Ohora
    10. OBEYC Trunk 7 – The Bus for Us by Suzanne Bloom
    11. OBEYC Trunk 8 – Stripes of All Types by Susan Stockdale
    12. OBEYC Trunk 9 – Number One Sam by Greg Pizzoli
    13. OBEYC Trunk 10 – Kite Day by Will Hillenbrand
    14. Cubelets Twenty – Robot Blocks (ages 8+)
    15. Set #1 - Dash & Dot Wonder Pack, Accessories Pack, Xylophone
    16. Set #2 - Dash & Dot Wonder Pack, Accessories Pack, Xylophone
    17. Set #3 - Dash & Dot Wonder Pack, Accessories Pack, Xylophone
    18. GoldieBlox – Builder’s Survival Kit (ages 7-12)
    19. iSense 3D Scanner
    20. Keva Planks Building Set (2 bags) (all ages)
    21. Lily Pad E-Textile Design Kit (small) (ages 8+)
    22. Little bits Premium Kit (14 bit modules) (ages 8+)
    23. MaKey MaKey Deluxe Kit (small) (ages 8+)

    1. MaKey MaKey Standard Kit (small) (ages 8+)
    2. OZObot (2 pack) (ages 8+)
    3. Roominate Deluxe: Wired Dollhouse Building Kit (ages 6+)
    4. Snap Circuits Junior (ages 8+)
    5. #1 Snap Circuits Extreme (ages 8+)
    6. #2 Snap Circuits Extreme (ages 8+)
    7. #3 Snap Circuits Extreme (ages 8+)
    8. #4 Snap Circuits Extreme (ages 8+)
    9. #5 Snap Circuits Extreme (ages 8+)
    10. Snap Circuits Junior (ages 8+)
    11. #1 Snap Circuits Light (ages 8+)
    12. #2 Snap Circuits Light (ages 8+)
    13. #3 Snap Circuits Light (ages 8+)
    14. #4 Snap Circuits Light (ages 8+)
    15. #5 Snap Circuits Light (ages 8+)
    16. Squishy Circuits Hardware Kit (small) (ages 8+)
    17. STEM Science Lab – Alarm you Pencil Box Lab (ages 9+)
    18. STEM Science Lab – Don’t Lose Your Marbles Lab (ages 9+)
    19. STEM Science Lab – Space Lander Activity Lab (ages 9+)
    20. STEM Science Station – Magnets (ages 4+)
    21. STEM Science Station – Motion (ages 4+)
    22. STEM Science Station – Sink or Float (ages 4+)
    23. Zometools Classroom Kit (ages 6+)
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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