JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
YSCP One-to-One Take Home Chromebook Program Sign-up& Insurance option
Please provide your information and choices below. Please make sure to read the policy in the link to understand your rights and responsibilities, and what is covered.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent/Guardian Full name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Student 1 Full name
*
Your answer
Grade
*
Choose
1
2
3
4
5
6
7
8
Student 2 Full name
Your answer
Grade
Choose
1
2
3
4
5
6
7
8
Student 3 Full name
Your answer
Grade
Choose
1
2
3
4
5
6
7
8
*
I want my child/ward to participate in YSCP One-to-One Take Home Program
I do not want for my child/ward to participate in YSCP One-to-One Take Home Program
Please review
the state-required
YSCP Chromebook Acceptable Use Policy
and provide your consent by checking the box below to signify your understanding and acceptance of the policy terms.
*
I agree to the terms in the policy
I need more information
Required
Chromebook Insurance
Please click here to get all the details about
YSCP Chromebook Insurance Policy
.
Please let us know your choice below. To pay the insurance fee online, click the link below:
https://payments.efundsforschools.com/v3/districts/56091
*
Pay online- Please click link above to process.
Pay by cash- Please send it to business office.
Pay by check (made out to YSCP)
NO Insurance: Families may choose to not insure the Chromebook and will be responsible for the full value of the Chromebook or repairs. Replacement or repair fees will be assessed for lost or damaged Chromebooks according to the following estimates
Check here if your child(ren) has reduced or free lunch
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Young Scholars of Central PA Charter School.
Report Abuse
Forms
