Name:         

  Subject:            

  Lab Requested: TLC Green    TLC Gold     Mobile Lab

  Room Location if requesting the Mobile Lab:
  Remember, the mobile lab may only be used if the TLC lab is booked.

  Dates Requested (Aug 24,25,28) :

  Number of Students:               

  Class Periods: 
  1st  2nd  3rd  4th  5th  6th  7th  8th  Before School  After School

  Briefly describe your class activity:    
        

Check the following boxes for additional equipment needed in the lab for your visit:

Microphones
Headphones

You will see your lab scheduled on the TLC Calendar as soon as the request has been processed. In the event there is a conflict or questions, Vicki Clark will email you for clarification.

  Fill in the missing word for form validation:  Name of the LHS mascot?