Seed Withdrawal (Checkout)

Download and submit this form to the front office or room 211. OR just email this info to


          Name _________________________________    Email ____________________________   Grade if applicable _________    Period 7 teacher _______________________


         Plant Choice:      Common Name __________________________ Variety ____________________________   Number of packets __________


                                  Common Name __________________________ Variety ____________________________        Number of packets __________

                                  Note: 2 packet maximum


        Pickup Choice   Circle one:              Mailbox at parent pick up              Front office                  Agriscience room 211                Delivery to period 7

           ***When checking out seeds from the Prep Library, it is understood that a “return” (deposit) will be made in the future.