2020-2021 Calculator Rental Form

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Parents need to fill out this form and then pay the required $20 fee through the finance office before the student can go to the Textbook Depository to pick up a calculator.

What is your student's ID number?

Student Last Name *

Student First Name *

Student's Math Class *

Student's Math Teacher *

Parent Name *

I am the legal parent of guardian. of the aforementioned student *

Yes

I agree to rent a TI-83/84/84+ calculator from the Lone Peak High School Math Department for all or part of the 2020-2021 school year. *

Yes

I agree to pay $20.00 for said rental. *

Yes

In the event that the calculator cannot be returned in clean, working condition (for whatever reason), I agree to pay an additional $114 for the replacement of the TI-83/84/84+ calculator. *

Yes

Other:

I guarantee that the calculator will be returned to the school in clean, working condition. Please keep food away from calculator. *

Yes

I agree that maintaining the batteries in the calculator is the responsibility of the student and I agree that the calculator will be returned to the school with the batteries in working condition. [Calculators with rechargeable batteries can be charged in the student's math room]. *

Yes

I understand the calculators are available on a first-come, first-served basis. *

Yes

In the event that a calculator is not available, I do not hold Lone Peak High School Math Department responsible. *

Yes

By typing your name and the date in the box below, you are agreeing to the aforementioned policies. *

Submit

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