16 INCH TELESCOPE CHECK-OUT/CHECK-IN FORM

DATE USED: ______________________________



COMPONENT STATUS:

                                       CHECK OUT                CHECK IN
MIRROR COVER:                   _______________________   _______________________
EYEPIECE COVER:                 _______________________   _______________________
ALTITUDE SLEW MOTOR:            _______________________   _______________________
AZIMUTH SLEW MOTOR:             _______________________   _______________________
FOCUS KNOB:                     _______________________   _______________________
TELRAD ALIGNMENT:               _______________________   _______________________
TELRAD BATTERY:                 _______________________   _______________________
HAND PADDLE:                    _______________________   _______________________



AFTER THE EVENT:

WAS THE POINTING OK?:       _______________________



LS HOST (PRINT): _______________________
LS HOST (SIGN): _______________________
DATE: _______________________

LS EVENT LEADER (PRINT): _______________________
LS EVENT LEADER (SIGN): _______________________
DATE: _______________________