Morale Gear Check-out Form

First Name

Duty Station (if applicable)

Status (AD, Dependent, Retired, Reservist, etc.)

Last Name

Phone Number

Rank (if applicable)

EMPLID (if applicable)

Address

ALL ITEMS WILL BE RETURED USING THE MWR GEAR RETURN FORM

Item # (s) & Name of Item(s)

Start of Rental required

Estimated End of Rental required

Hold harmless/indemnification Clause

I agree to reimburse, indemnify, and hold harmless the Coast Guard, the Coast Guard MWR program, its agents and COMDTINST 1710.13E 1-3 employees from any and all claims and causes of action that arise or may arise from my (our) use of the Coast Guard MWR equipment or facilities.

Submit

Morale Gear Check-out Form

Hold harmless/indemnification Clause

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