2023-2024 HTSD AUP and One to One iPad Policy Agreement - Students
**Note: if you have multiple children receiving iPads, please complete a separate form for each child.
Also, Only one parent/guardian needs to complete the form for each child. 
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Student's First Name *
Please write their legal first name that the school has on record (ex: James not Jimmy or Jim)
Student's Last Name *
Parent/Guardian First Name *
The first name of the parent/guardian completing this form.
Parent/Guardian Last Name *
The last name of the parent/guardian completing this form.
Parent/Guardian email address *
Please list the email address where you received the notification to complete this form.
What is your daytime phone number? *
Please include the area code: (xxx) xxx - xxxx
What is your evening phone number? *
Please include the area code: (xxx) xxx - xxxx
Student's School *
Student's Grade 2023-2024 *
By checking the box below, you provide your digital signature, indicating your understanding and agreement to the stipulations set forth in both documents. This digital signature confirms that you have read, understood, and agreed to the terms outlined in the HTSD Acceptable Use of Information and Communication Technology for Students and the One to One iPad Policy, Procedure and Information packet.
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