2. Ripple Effect Film Project Recording Equipment Lending Library Request Form

   The Athens-Clarke County Water Conservation Office maintains a Recording Lending Library to support students, teachers, and parents participating in the Ripple Effect Film Project.

4. How It Works

   The Lending Library includes tripods, tripod adaptors, microphones, and microphone adaptors. Pending availability, items are picked up from the Water Conservation Office (WCO) on Tuesdays and returned to the WCO the following Monday. Borrowing time may be extended, depending on demand. The WCO will respond within 24-hrs of receiving completed request form whether or not the item(s) is available for requested dates.

6. First Name*
7. Last Name*
9. Address 1
11. Address 2
13. City
14. State
15. Zip
17. Phone Number (Mobile)*
18. Phone Number (Home)
20. E-mail*
22. School*
    -- Select One --Alps Road ElementaryAthens AcademyAthens Christian SchoolAthens Community Career AcademyAthens MontessoriBarnett Shoals ElementaryBarrow ElementaryBurney-Harris-Lyons Middle SchoolCedar Shoals High SchoolChase Street ElementaryClarke Central High SchoolClarke Middle SchoolClassic City SchoolCleveland Road ElementaryDouble HelixDowntown AcademyEarly Learning CenterFowler Drive ElementaryGaines ElementaryH.B. Stroud ElementaryHilsman Middle SchoolJ.J. Harris ElementaryMonsignor Donovan Catholic High SchoolOglethorpe Ave ElementaryPrince Ave. Christian SchoolSt. Joseph Catholic SchoolTimothy Road ElementaryW.R. Coile Middle SchoolWaseca Learning EnvironmentWestminster Christian AcademyWhit Davis ElementaryWhitehead ElementaryWinterville ElementaryOther
23. Other
    include the name of school if not found in dropdown
25. Equipment Available
    The following is a list of available equipment. Not sure what the item is by name? Read a brief description of each item or follow the links included here: https://www.accgov.com/9140/Film-Equipment-Lending-Library
27. Tripod

    Number (#) indicates how many in the lending library, not how many are currently available

    1. Standard Tripod Stand (4)
    2. iPad Tripod Mount Adaptor (4)
    3. Cell Phone Tripod Mount Adaptor (4)
    4. Cell Phone Tripod Mount Adaptor with Remote (4)
28. Microphone

    Number (#) indicates how many in the lending library, not how many are currently available

    1. Snowball Microphone (2)
    2. Lapel Microphone (2)
    3. TRRS to TRS Cable Adaptor for Lapel Microphone (2)
30. How many Tripod items?
    Please indicate how many of each item selected above you are requesting.
31. How many Microphone items?
    Please indicate how many of each item selected above you are requesting.
33. Request a Date

    Please indicate your top 3 dates to borrow equipment in order of preference from #1 to #3. Equipment is available to pick up on Tuesdays and must be returned the following Monday at the Water Conservation Office, 124 E. Hancock Ave, 2nd Floor, Athens, GA. The building is open between 9:00 AM - 4:00 PM. Equipment is loaned on a first-come, first-served basis.

35. Date #1
    Date #1
36. Date Choice #2
    Date Choice #2
37. Date Choice #3
    Date Choice #3
39. Suggest an Item
    Want to see a particular item added to the WCO's Film Recording Lending Library? Let us know what would help you with making your film.
41. Item Details
    (type, manufacturer, features, etc.)
43. How will this type of equipment benefit your project?
45. Thank you!
    We appreciate your interest in the Ripple Effect Film Project. If you have additional questions, please contact us at savewater@accgov.com.
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field