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Gaming Request Form

Ready, Set, Dance! These individual Dance Dance Revolution kits come equipped with nearly everything you need to hold a DDR program. The dance pad and video gaming software are included for hours of fun. The only items you need are the video gaming consoles AND excited teens.

Form should be completed by person responsible for this request. Phone requests will not be accepted. Fields marked with "*" are required.

* Library:
* Name of Person Requesting the Equipment:
E-mail Address:
Telphone number:
Dates of Usage (Reminder: Materials circulate for a maximum of one week.)
* From:
To:
Method of delivery:	use regional delivery
	will pick up at SEMLS
	pickup date: pickup time:
Method of return to SEMLS:	use regional delivery
	will drop off at SEMLS
	drop-off date: drop-off time:
Request a DDR kit:
Kit 1 Dance Dance Revolution Universe Kit for Xbox Users This kit comes with a cushioned dance pad & the Dance Dance Revolution Ultramix Bundle software.
Kit 2 Red Octane Kit for Playstation & Xbox Users This kit comes with a cushioned dance pad & the Dance Dance Revolution Supernova Video Game.
Kit 3 Konami Kit for Xbox 360 Users This kit comes with a cushioned dance pad & the Dance Dance Revolution Ultramix video game.
Request Dance Pads Only:
DDR Pad 1 Beat Pad Pro cushioned Dance Pad for Xbox console users.
DDR Pad 2 Red Octane cushioned Dance Pad for Xbox, Xbox 360 OR Playstation 2 console users