STEAM Backpack Rental Form Please complete the following for once per backpack requested. Once completed, a VINS Educator will be in touch to coordinate your Rental & Payment. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you plan to use the Backpack onsite at VINS or bring it home with you?Use it onsite at VINSBring it homeNumber of Backpacks to be rented123456Age RangeGrade K-2Grade 3-5Grade 6-8Grade K- 2 Backpack SelectionBirdsInsectsNature ExplorerTrackingGeologyDay & Night SkyGrade 3-5 Backpack SelectionBirdsInsectsNature ExplorerTrackingGeologyDay & Night SkyGrade 6-8 Backpack SelectionBirdsInsectsNature ExplorerTrackingGeologyDay & Night SkyDate of PickupRentals available starting September 1.Time of Pickup11:00 AM2:00 PMDate of ReturnTime of Return11:00 AM2:00 PMChoice 3I acknowledge that I am responsible for the tools, games, and other materials in this backpack. I am responsible for paying the replacement cost for anything that is damaged beyond typical wear and tear.Initial hereI acknowledge that I am responsible for Payment or the Deposit for each backpack rented.Initial here $20 deposit if used onsite at VINS* $20 per week if used offsite* *Only cash or check will be accepted. If rented for onsite use, a driver's license can be used as collateral in lieu of cash.Additional NotesSubmit Bringing Science Inquiry & Investigation to Life in Your Classroom CONTACT US GET UPDATES
