Chromebook Request
Please use this form to request a Chromebook for your child. Please complete the form for each individual child for whom you are requesting a Chromebook. You are able to submit multiple forms, one for each child.  Please provide an email as I will send information out to you regarding pick up.
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Email *
Student Name *
Student Grade Level for 20-21 School Year *
Parent Name *
Parent Phone Number *
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