Summer Laptop Request & Payment

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Please complete this form if you would like to keep your laptop over the summer for summer school or personal use.

NOTE - This is only required if you did not purchase your laptop. Students that opted to purchase their laptop may keep the laptop over the summer free of charge.

Parent Name(s) *

Parent Email Address

Student Name *

Grade Level *

PAYMENT

Payment must be received for this application to be complete. Please visit https://checkout.square.site/pay/e9ffde6a3f0647329e2de51c9a45da21 to pay the summer fee ($50.00)

Payment Verification *

I paid the $50.00 summer laptop fee.

Required

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