JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Device Signup Sheet
If you did not already receive a Chromebook from the district for your child and you do not have a PC, Macbook, iPad or Chromebook at home that your child can use to complete assignments please sign up for a device using the following form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Is the student signed up for a virtual program?
*
Choose
Yes
No
Student Grade
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Student Home School
*
Choose
Smithville High School
Smithville Middle School
Horizon Elementary
Maple Elementary
Eagle Heights Elementary
Parent First Name
Your answer
Parent Last Name
Your answer
Parent Email Address
Your answer
Parent Phone Number
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Smithville.k12.mo.us.
Report Abuse
Forms
