Empower 1:1 Device Summer 2024 Opt-in Form (K-8)

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Please complete this form if you are requesting that your student take home their Chromebook over the Summer (23-24). Device insurance fee must be paid in order to take a device home. Chromebook and charger will be given to your student on the last day of school. Filters and firewalls will still be in effect and students are expected to follow the Student Code of Conduct and Responsible Use Policy.

Parent/Guardian Last Name *

Parent/Guardian First Name *

Parent/Guardian Email Address *

Student First and Last Name *

Campus *

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