SEMESTER: ________________________________ LOCKER #: _____________________________________
STUDENT ID #: _______________________________ EMAIL:email@example.com
My signature on this agreement ensures that I have read and understand these terms.
DATE: ___________________________ SIGNATURE: ______________________________________________
OSA OFFICE USE ONLY
PAID: ______CASH ______CHECK AMOUNT GIVEN: __________ CHANGE: ________ STAFF INITIAL: _______
• A student may use an assigned locker if they have
registered and paid for tuition. Any unauthorized usage
of the locker will be a violation of the locker rental
agreement will be subject to immediate forfeiture of
the locker. Students are not authorized to allow other
persons use of their assigned locker at any time. NO
REFUND will be made for such violation.
• Locker rental for each semester, or any portion thereof
is $5 or $10 payable to Kapi‘olani Community College.
ONE locker rental per student each semester.
• The locker rental period is from the WEEK PRIOR TO
THE FIRST DAY OF INSTRUCTION to the LAST DAY
OF FINALS for each semester, including SUMMER
SESSION, or any portion thereof.
• Lockers must be cleared out and locks removed by
the last day of ﬁnals for each semester. Thereafter,
locks will be cut and locker contents held for 30 DAYS.
Unclaimed belongings will be donated to charity.
• The Ofﬁce of Student Activities is NOT RESPONSIBLE
for any lost, stolen, or damaged items resulting from
the rental of this locker. Must provide your own locker.
• The Ofﬁce of Student Activities reserves the right to
terminate this agreement at any time at its discretion
for any campus security violations and/or student
• There will be NO REFUNDS at anytime during the
semester for unwanted or unused lockers.
LOCKER RENTAL AGREEMENT