OFFICE USE ONLY Locker Number: ❑ SUMMER❑ FALL❑ SPRING 900 Fallon St Oakland, CA 94607 LOCKER ASSIGNMENT AGREEMENT FORM Last Name First Name Student ID Number Address City ZipOffice Use • August 15th, 2023
Contract Type FiledAugust 15th, 2023Initials I have read the above rules and understand all the regulations and agree to all the rules and accept full responsibility. Initials I verify that I am in good health and am able to participate in physical activities on the campus. Initials I verify that I have not been instructed by a physician to discontinue physical activities.