Equipment Request Form (Production Cycle Only)

Please only complete this form AFTER you have submitted the Production Request Form

Student Name: Student Name: * First Last
900 Number: *
Student Cell Phone: Student Cell Phone: * - ### - ### ####
Requestor Email Address: *

(if different from Director: this individual will receive confirmation/resubmit emails)
Today's Date: Today's Date: * / MM / DD YYYY
Instructor/Assignment: *

List both the assigning Professor AND production class (D1, D2, Capstone, etc.)
Production Name/s: *

For D1, must type in name of both Productions.
Director/s *

For D1, must type in names of both directors
Director Email, if different from 'Requestor'

For D1, only one Director email is needed.
Requested Pickup Date: Requested Pickup Date: * / MM / DD YYYY

MUST be on a Thursday or Friday based on the weekend determined by the Camera Lottery
Requested Pickup Time: Requested Pickup Time: * : HH MM AM/PM

MUST be between 10:00am - 4:00pm on Thursday, or 10:00am - 2:00pm on Friday (in 30 minute increments)
Requested Return Date: Requested Return Date: * / MM / DD YYYY

MUST be on the Monday directly following the Thursday or Friday checkout
Requested Return Time: Requested Return Time: * : HH MM AM/PM

MUST be between 10:00am - 4:00pm (in 30 minute increments)
Equipment Selection: Please make selections based on your class/professor's requirements
CAMERA/LENS
Camera Kits:

Camera Kits: Canon C300 MKII: w/ 2x LCD Cables, CFast Card reader, 3x 256GB CFast cards, 2x batteries, charger w/ power cable and power adapter, ac cable and 3' HDMI Canon C70: EF/RF mount adapter, cage, handle, base plate, 4x 15mm rods, ac adpater, 1x BP-A30 battery, 1x charger, Canon R5C: cage and handle, dovetail plate, 24-70 rf lens, base plate, cable routers, 2x lp-E6 batteries, 1x charger, LP-E6 dummy battery, EF/RF mount adapter, usb-c cable BMPCC 6K: Smallrig cage, side grip and handle, base plate, hdmi right angle adapter, cable clamp, cable router, 2x npf batteries, 1x npf charger, dtap power adapter, barrel power adapter, LCD hood Canon 5D MKIV: w/ camera cage/handle, 2x LP-E6 batteries, charger, 3' HDMI, dummy battery, ac adapter, ac cable Small DSLR (T3i/T5i/T7i: based on availability) Camcorder (XF400/XF100: based on avilability) Other Other

If requesting a second camera (for Documentary projects only) write in "other" space provided.
C300:
C70 Kit:
R5C Kit:
BMPCC 6K Kit:
5d Mark IV:
Canon T7i:
Canon XF400:
Prime Lens Kit:

Prime Lens Kit: Rokinon: 14, 24, 35, 50, 85, 135 Canon CN-E Cinema Kit: 14, 24, 35, 50, 85, 135mm [Capstone only and subject to availability]
Rokinon Lens Kit:
Canon EF CN-6 Lens Kit:
Zoom Lens:

Zoom Lens: Canon 24-70mm Sigma 24-70mm
Canon 24-70mm:
Sigma 24-70:
CAMERA ACCESSORIES
Core Matte Box Kit: matte box, French flag, 4x lens tracks, 4x 15mm rods, follow focus, whip, and right angle crank. Advanced Matte Box Kit [Capstone/D2 Only]: JTZ matte box, w-80/95/104/114 lens adapter, lens donut/spare donut, French flag/two sides and 2x 15mm rods; Tilta follow focus w- right angle crank and whip; 4x lens focus adapters; Tiltamax Nucleus Follow Focus w- 2x gears, 2x batteries, battery charger, remote, 2x power cables, 2x focus rings and 2x marker rings. Hollyland wireless video transmitter (trans, rec., cold shoe mount, ac adapter, 2x NPF, 5x antennae) Tilta follow-focus [subject to availability and prior approval]: w/base plate, 2x whips, angle key, 4x focus ring adapter, 2x gears.
Matte Box Kit w/ Wireless:
Matte Box Kit:
Advanced Matte Box Kit:
Wireless Trasmitter:
Tilta Follow Focus:
AC Kit:

AC Kit: Slate, 2x Allen Wrench sets, gloves, marker, flashlight, asstd. color and gaffe tape
AC Kit:
DISPLAY/MONITOR
Video Monitor:

Video Monitor: Black Magic Monitor Kit w/ 9.5" (large) articulating arm, 5.5" (small) articulating arm, light stand attachment, monitor coupler, 2x charger, 6x LP-E6, 2x 3' SDI DesView 21.5' Monitor Hollyland wireless video transmitter: (trans, rec., cold shoe mount, ac adapter, 2x NPF, 5x antennae) Other Other

Should request additional light stand separately if using as "video village"
Black Magic Monitor Kit:
DesView Monitor:
CABLES/CONNECTORS

Many kits come with cables, but some do not.
Video Cables:

Video Cables: 3' SDI 15' SDI 3' HDMI 15' HDMI
3' SDI:
15' SDI:
3' HDMI:
15' HDMI:
Audio Cables:

Audio Cables: 1.5' XLR (female right angle) 25' XLR (standard) 1/8" TRS to male xlr adapter Other Other
1.5' right angle XLR:
25' XLR:
1/8" to XLR male:
Connectors:

Connectors: Articulating Arm 3/8ths camera moutning screw 1/4- 20 camera mounting screw Double-sided 1/4 20

an "articulating arm" is already included with the BM Monitor Kit and a "1/4- 20 mounting screw" is included with each tripod.
Articulating Arm:
Double-Sided 1/4- 20:
1/4- 20 Mounting Screw:
3/8ths Mounting Screw:
CAMERA SUPPORT
Tripods:

Tripods: Small Manfrotto (for basic dslr) Medium Manfrotto (for C-300, or dslr w/ Dana Dolly) Hi-Hat
Small Manfrotto (500A):
Medium Manfrotto (502A):
Hi Hat:
Gimbals, Sliders, Etc.:

Gimbals, Sliders, Etc.: Dana Dolly: 1x Dolly case, 2x Speed Rails, 3x Stands (request an extra 2-3 sandbags for stops) EasyRig Minimax

May select more than one, but dollies/gimbals/sliders, etc. are subject to availability.
Dana Dolly:
EasyRig Minimax:
SOUND
Audio Kits:

Audio Kits: Sound Devices MixPre 6 mixer/recorder w/ power supply & usb-c cable, NPF plate, NPF charger, 2x NPF battery, Sennheiser MKH-416 shotgun mic, shockmount, headphones, 25' XLR cable, porta brace bag and boom pole Tascam DR60d MKII mixer/recorder w/ power supply & usb adapter, NPF adapter plate and 1x NPF battery, Rode NTG2 shotgun mic, shockmount, headphones, 25' XLR cable and boom pole Sound Devices 633 recorder/mixer (w/ headphones, 25' XLR, 2x NPF batteries, charger, ac adapter/cable, shotgun mic, shockmount and boom pole) Sound Devices 552 recorder/mixer w/ headphones, 25' XLR, 2x NPF batteries, charger, shotgun mic, shockmount and boom pole)

Select only one mixer kit
Tascam Audio Kit:
SD MixPre 6:
Sound Devices 633:
Sound Devices 552:
Additional Audio:

Additional Audio: 2x Sennheiser wireless lavalier: one case (2x transmitters, 2x receivers, 2x 1/8-xlr, 2x 1/8-1/8, 2x lav mics) 4x Sennheiser wireless lavalier: two cases (4x transmitters, 4x receivers, 2x 1/8-xlr, 2x 1/8-1/8, 2x lav mics) Additional shotgun mic w/ 25' XLR cable, shockmount and boom pole Blimp windscreen & Dead Cat Boom Buddy Other Other
Sennheiser Lav Kit:
Sennheiser Lav Kit (2 Cases):
Shotgun mic w/ 25' XLR cable, shockmount and boom pole:
Blimp & Dead Cat:
Boom Buddy:
ADDTIONAL POWER (optional)
NPF Batteries:
NPF:
LP-E6 Batteries:
LP-E6:
Stingers:

25' stingers will be provided unless otherwise indicated-- 50' may be substituted at checkout.
Stinger:
V-Mount Battery Kit:

V-Mount Battery Kit: 4x V-Mount batteries, 1x battery charger/ballast, 1x 4-pin XLR, 1x AC cable, 1x V-Mount adapter plate w/15mm support, 1x Dtap 4way splitter, Various power cables

only one per production
V-Mount Kit:
Special Power Requests:
LIGHTING
Lighting:

Lighting: Dracast 3 LED Panels w/ ac power supply, and 3x small stands Dracast 3 LED Panels w/ ac power supply, 3x NPF adapters, 6x NPF batteries, and 3x small stands Arri 4 light kit (650, 300, 2x 150) includes 4x stands, 1x gloves, filters and scrims 2x Ice Light with 2x NPF batteries, NPF charger and 2x stands Godox LED Panel, Ballast, Power cable, frame, diffusion, right angle baby pin adapter Arri Sky Panel (must request 1x combo stand below), xlr/power cable, neutrik cable, ballast, clamp attachment, diffusion panel Soft Box for Arri Sky Panel (subject to availability): includes: 1x rectangular metal frame, 4x rods, 1x foldable fabric cube Other Other

May choose more than one, but remember most kits are big, bulky and heavy.

If requesting a second light kit, indicate in the "other" space provided, but additional light kits are subject to availability
Dracast 3 Light Kit:
Arri 4 Light Fresnel Kit:
Ice Light kit:
Sky Panel:
Sky Panel Soft Box:
Godox LED Panel:
GRIP
Flag Kit/Reflector/Etc:

Flag Kit/Reflector/Etc: Flag/Silk/Net Kit: 1x green (single: 1/2 stop), 1x red (double: full stop), 1x black/fill, 1x yellow (silk: two-stop), 1x grey (silk: one-stop), 4x collapsible frames Window Pattern Kit (must request 1x Mathellini clamp as well) Flex Fill 5-in-1 collapsible 24" x 36" Solid Floppy (Black Flag) 12' x 12' Butterfly Frame Kit w/ silk: includes 8x frame tubes, 4x corner joints, 2x quick reverse ears, 2x grip heads and 2x junior/baby adapter (must request 2x additional combo stands separately) Other Other

Most options are capped due to inventory, if more than the allotted amount are required, include amount in the "Other" section below and request will be considered.
Flag Kit (Collapsible):
Window Pattern Kit:
Flex Fill 5-in-1:
24 x 36 Floppy:
12x12 Butterfly Frame Silk:
Backdrop:

Backdrop: Green Screen Kit w/ 4x poles and 2x stands White Screen backdrop w/ 4x poles and 2x stands Black Screen backdrop w/ 4x poles and 2x stands Green Screen only Black Backdrop only White Backdrop only Other Other

Can only request one set of poles and stands-- if additional backdrop colors are required, select "green, black, white only" separately.
Green Screen w/ Poles:
White Screen w/ Poles:
Black Screen w/ Poles:
Green Screen Only:
Black Backdrop Only:
White Backdrop Only:
APPLE BOXES
Full, Half, Quarter, Pancake:
Full, Half, Quarter, Pancake:
Full only:
Full Apple:
Half only:
Half Apple:
Quarter only:
Quarter Apple:
Pancake only:
Pancake Apple:
STANDS
C-Stands:
C-Stand:
Combo Stands:
Combo Stand:
Light Stands:

All light kits come with light stands supplied; if requesting 'extra' light stands, must provide justification in space provided.
Justification for 'extra' light stands
Light Stand:
CLAMPS
Mathellini:

Inventory is limited and subject to availability on day of checkout
Mathellini:
Mafer:

Inventory is limited and subject to availability on day of checkout
Mafer:
Duckbill:

Inventory is limited and subject to availability on day of checkout
Duckbill:
Scissor/Ceiling:

Inventory is limited and subject to availability on day of checkout
Scissor:
A Clamps

Sizes may vary depending on volume of requests in a given week: specific sizes may be requested upon checkout, based on availability (3.5" and 6")
A Clamps:
MISC.
Sand Bags:

Inventory is limited and subject to availability on day of checkout
Sandbag:
Sound Blankets:

Inventory is limited and subject to availability on day of checkout
Sound Blanket:
TRANSPORT
Carts:

Carts: RocknRoller Multicart RocknRoller Multicart w/ shelf Camera Cart (on campus use only)

Only one cart per production
Multicart:
Multicart w/ Shelf:
Camera Cart:
Additional/Special Request/Other:

Please use this space to indicate a special request or to modify an amount or listed package above
* By signing below, you acknowledge that there MUST be a minimum of two (2) people present at both check-out AND check-in where all equipment will be inspected for proper storage and functionality.

** Additionally, you acknowledge that although you may receive an "approved" confirmation of your request, equipment is subject to availability and all requested items may not be available the day of checkout; however, suitable accommodations will be attempted, and alternate gear offered, if possible.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Equipment Request Form (Production Cycle Only)

Equipment Request Form (Production Cycle Only)

Equipment Selection: Please make selections based on your class/professor's requirements

CAMERA/LENS

C300:

C70 Kit:

R5C Kit:

BMPCC 6K Kit:

5d Mark IV:

Canon T7i:

Canon XF400:

Rokinon Lens Kit:

Canon EF CN-6 Lens Kit:

Canon 24-70mm:

Sigma 24-70:

CAMERA ACCESSORIES

Matte Box Kit w/ Wireless:

Matte Box Kit:

Advanced Matte Box Kit:

Wireless Trasmitter:

Tilta Follow Focus:

AC Kit:

DISPLAY/MONITOR

Black Magic Monitor Kit:

DesView Monitor:

CABLES/CONNECTORS

3' SDI:

15' SDI:

3' HDMI:

15' HDMI:

1.5' right angle XLR:

25' XLR:

1/8" to XLR male:

Articulating Arm:

Double-Sided 1/4- 20:

1/4- 20 Mounting Screw:

3/8ths Mounting Screw:

CAMERA SUPPORT

Small Manfrotto (500A):

Medium Manfrotto (502A):

Hi Hat:

Dana Dolly:

EasyRig Minimax:

SOUND

Tascam Audio Kit:

SD MixPre 6:

Sound Devices 633:

Sound Devices 552:

Sennheiser Lav Kit:

Sennheiser Lav Kit (2 Cases):

Shotgun mic w/ 25' XLR cable, shockmount and boom pole:

Blimp & Dead Cat:

Boom Buddy:

ADDTIONAL POWER (optional)

NPF:

LP-E6:

Stinger:

V-Mount Kit:

LIGHTING

Dracast 3 Light Kit:

Arri 4 Light Fresnel Kit:

Ice Light kit:

Sky Panel:

Sky Panel Soft Box:

Godox LED Panel:

GRIP

Flag Kit (Collapsible):

Window Pattern Kit:

Flex Fill 5-in-1:

24 x 36 Floppy:

12x12 Butterfly Frame Silk:

Green Screen w/ Poles:

White Screen w/ Poles:

Black Screen w/ Poles:

Green Screen Only:

Black Backdrop Only:

White Backdrop Only:

APPLE BOXES

Full, Half, Quarter, Pancake:

Full Apple: