Elementary Chromebook Request Form- Pick up will only be on Monday, March 16th at the below designated times for each building. Your child will keep the Chromebook through Monday, April 13th. (PLEASE complete one form per child requesting a chromebook.)
eLearning Days:
March- 3/16, 3/18, 3/20, 3/30
April- 4/1, 4/3, 4/6, 4/8

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Parent Last Name *
Parent First Name *
Student Last Name *
Student First Name *
Which Building Does Your Child Attend? *
What is your child's Teacher's Name: *
On Monday, March 16th: What time will you be available to pick-up your child's Chromebook and charger from your respective building? *
By signing your name below, you understand that you are responsible for the Chromebook and charger and any damages it may occur while out of the building. There will be no technology support via Union Township after Monday, March 16th. The Chromebook and charger will need to be returned with the child back to school on Monday, April 13th. *
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