Locker Selection Building 10

Lockers and combinations will be distributed the first week of school. Lockers must be paid for through the quick pay account (Rycor)on myStudent. Lockers that are chosen and have not been paid for will not be issued and will be re-released.

Student Name Student Name First Last
Student ID Number
Email address where the locker combination will be sent.
Choose Your Locker from one of the options below. This form will get you a locker in Building 10.
If you would like a Top Row Locker - Choose Your Locker Number
If you would like a Middle Row Locker - Choose Your Locker Number
If you would like a Bottom Row Locker - Choose Your Locker Number
I confirm that I have paid for my locker.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Locker Selection Building 10

Locker Selection Building 10

Choose Your Locker from one of the options below. This form will get you a locker in Building 10.