RRCA Chromebook Agreement Form 2023-24

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The purpose of this form is to ensure that students and parents have fully read and understand the RRCA Technology Acceptable Use Policy and Chromebook Use Agreement. Parents and students will acknowledge they have read the policy completely at the bottom of this form. The complete policy can be found on our website at: https://www.rrca-tx.org/news-events/parent-resources-and-forms/

Email *

Student Last Name *

Student First Name *

Student Grade *

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Student / Parent Responsiblity

Each student will be responsible for the device that has been assigned to them.

Parents of high school students will be responsible for purchasing the full coverage Chromebook insurance annually ($40) for students in 9th-12th grade. Parents can pay by cash or check, or their tuition/financial account will be billed.

Insurance – Full Coverage with $0 deductible. The unlimited Incidents coverage includes:

• Accidental Damage (drops/cracked screens and liquid spills)
• Liquid submersion
• Theft (requires a police report)
• Fire/Flood Damage
• Vandalism (requires a police report)
• Natural Disasters
• Power Surges due to lightning

In the event that the device is permanently lost (not returned or missing, etc.) or intentionally damaged, the student/parent will be responsible to pay the $300 fee for the replacement of the Chromebook plus a $26 re-licensing fee to be able to connect to the school’s managed network.

In the event that the power cord is lost or damaged or the case is broken, the student/parent will be responsible for paying an appropriate replacement fee.

If the Chromebook is damaged and/or inoperable, the student will be responsible for returning the device to the school for repairs. During the school year, a loaner Chromebook will be issued for the duration of the repair.

Acknowledgement of Responsibility

I acknowledge that I am responsible for the Chromebook and power cord that has been issued to me/my student. I acknowledge that use of a Chromebook is subject to the RRCA Technology Acceptable Use Policy and Chromebook Use Agreement, the Parent/Student Handbook and the Code of Conduct. If the unit is lost or damaged, I understand that I will be charged for the replacement as outlined above.

I have read and reviewed the RRCA Chromebook Policy and agree to its terms and conditions (Parent and student Initial here.) *

If the device is lost, not returned, or intentionally damaged, the student/parent will be responsible to pay the $300 fee for the replacement of the Chromebook plus a $26 re-licensing fee (Parent and student initial here). *

Type in Student name *

Type in Parent name *

Date of Student and Parent Agreement Completed *

YYYY

Agreement *

I understand that by completing and submitting this RRCA Chromebook Agreement form, I am agreeing to the terms and conditions of the RRCA Chromebook Policy.

Required

A copy of your responses will be emailed to the address you provided.

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