TI Nspire CX Graphing Calculator Check-Out Agreement

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This is for an 8th grader or Algebra 1 virtual students who are scheduled to take the STAAR exam. If a student was not successful in class first six weeks, they will need to attend on campus going forward.
The named student will receive one Ti-Nspire CX and charging cord.
The student and parent agree to both the A+ Academy Secondary School Acceptable Use Policy and that if the device is lost or damaged, they will be responsible for replacement. ************************************************** Calculators can be checked out from 1:00-2:30 pm on Wednesday, October 21st and Thursday, October 22nd.

Email *

Student ID Number *

Student LAST Name, FIRST Name *

Parent/Guardian LAST Name, FIRST Name *

Student's Math Teacher *

Parent/ Guardian Phone Number *

For STUDENT: Please type your name below to indicate you agree to the following. Please note the replacement cost for the calculator is $145.00 and the replacement cost for the charge is $15.00, should you lose or damage either.

For PARENT/GUARDIAN: Please type your name below to indicate you agree to the following. Please note the replacement cost for the calculator is $145.00 and the replacement cost for the charge is $15.00, should your student lose or damage either. *

OFFICE USE ONLY (LEAVE BLANK): Serial Number of assigned device

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