Chromebook Reservation Form 2023-2024
To assist students and families in need of technology to use at home the Valley View School District will offer the use of a School District owned Chromebook.  Please note that a Valley View Chromebook is not necessary if you have a computer, laptop, or Chromebook for your child(ren).   Please be advised that the use of a Chromebook does require WiFi internet access at home.  

To request the use of a Chromebook please complete and submit the Chromebook Reservation Form below.  All information shared in this form will remain confidential.  


Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name(s) *
Student Name *
Grade  2022-2023  *
Student ID Number (lunch number) *
Parent/Guardian email address.  This is the address that will be used to notify you when the Chromebook is ready for pickup. *
Once the Chromebooks are ready you will be contacted by the email address listed above with a pickup date and time.  Thank you.
Please list the best phone number where we may reach you if necessary. *
Please click below to acknowledge your agreement to the following condition for utilizing Valley View technology during the school closure. *
Required
The Chromebook(s) issued to your family / household for the  is  expected to be used for school work only.  You agree to return the Chromebook in working order in the same condition it was given out.  Your family will be responsible to cover cost of replacement if the Chromebook is returned damaged or unusable.   *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Valley View School District. Report Abuse
Google Forms