Chromebook Insurance Opt-OUT

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Hello, please complete the following form with all information listed below if you would like to OPT-OUT of the $30 Chromebook insurance for your child. This form MUST be completed by September 15, 2021 or the $30 insurance will be billed to your school fees.

Email *

Student's LAST name *

Student's FIRST name *

Student's 6-digit ID number *

Parent's LAST name *

Parent's FIRST name *

Please check below *

I am checking this box to OPT-OUT of the $30 Chromebook insurance for my child. I know that my opting-out of this insurance, I will be financially responsible for any damage, loss, or a broken Chromebook.

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