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2023-24 Chromebook Parent/Guardian Orientation, Acceptance, and Chromebook Protection Plan
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* Indicates required question
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian First Name:
*
Your answer
Student 1 Last Name:
*
Your answer
Student 1 First name:
*
Your answer
Student 1 School:
*
Choose
Middle School
LHS
Juliet Long School
Gales Ferry School
Gallup Hill School
Student 1 Grade:
*
Choose
KG
1
2
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5
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10
11
12
Student 2 Last Name: IF NOT APPLICABLE - put N/A
Your answer
Student 2 First name: IF NOT APPLICABLE - put N/A
Your answer
Student 2 School:
Choose
N/A
Middle School
LHS
Juliet W. Long
Gales Ferry School
Gallup Hill School
Student 2 Grade:
Choose
N/A
KG
1
2
3
4
5
6
7
8
9
10
11
12
Student 3 Last Name: IF NOT APPLICABLE USE N/A
Your answer
Student 3 First name: IF NOT APPLICABLE USE N/A
Your answer
Student 3 School:
Choose
N/A
Middle School
LHS
Juliet W. Long
Gales Ferry School
Gallup Hill School
Student 3 Grade:
Choose
N/A
KG
1
2
3
4
5
6
7
8
9
10
11
12
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