First Name: Last Name: Student ID: Email Locker Location Preference Upper Classroom (1/2 size) Upper Link (1/2 size) Music (3/4 size): music students only Theatre (1/2 size): theatre students only Women's Locker Room (1/2 size or 3/4 size) Men's Locker Room (1/2 size or 3/4 size) Locker Rental 1/2 Size - $60/year 3/4 Size - $75/year Winter only Yes Winter only option 1/2 Size - $40/sem 3/4 Size - $50/sem All items left after April 30 will be donated or discarded All lockers are the property of Ambrose University. As a result, we reserve the right to open a locker without consent due to suspicious behaviour or in the case of an emergency. Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. All information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail email@example.com).