District Device Protection Plan Agreement Form: 2023

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District Device Protection Plan Agreement Form: 2023 - 24

Please select one of the options below and sign electronically. *

I agree that my child and I have read and will comply with all policies and procedures within the "1:1 Device Policies and Procedures" document. (Available on the school website) We wish to purchase the school-provided protection plan for $35 annually which is non-refundable. I understand that this plan covers one (1) Apple device that is the property of the Rock County Public Schools described within for one student. I also understand that by paying $35, my child is allowed to take their school issued device out of the building.

I agree that my child and I do not wish to purchase the school-provided protection plan for $35. I understand by not purchasing the school-provided protection plan my child will not be allowed to take his/her device out of the school building. I understand that my child and I are responsible for the cost incurred to one (1) Apple device that is property of the Rock County Public School District as described by 8.1 the School District Protection Plan (found on the school website).

Parent/Guardian Electronic Signature: *

Student Name (Please include first and last name): *

Student Grade: *

7th

8th

9th

10th

11th

12th

Phone Number: *

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