January 2022 Chromebook Request : Laurelwoods Elementary School

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Please complete the following Chromebook Request Form if your child requires a device for remote learning. We will be prioritizing one device per family.

Additional devices will be made available after we have ensured that every family that needs one has one.
Please make arrangements to pick up your Chromebook on Tuesday January 4th from 9:30 am to 3:30 pm.

Parent / Guardian Name *

Parent / Guardian email address. *

Parent / Guardian Phone Number *

Student Name #1 *

Teacher's name #1 *

Student Name #2

Teacher's Name #2

Student Name #3

Teacher Name #3

Student Name #4

Teacher Name #4

Student Name #5

Teacher Name #5

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