La Ballona Student Chromebook Request
Any currently enrolled CCUSD student in need may checkout one device per school year
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This form is to be used for Chromebook requests only. 
Please do not enter any identifiable personal or financial information. 
Name of student using Chromebook? (First Name Only) *
What grade are they in? *
Only 1st through 5th grade use Chromebooks.
Please contact their teacher for any special accommodation requests. Thank You.
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