Heathcote Elementary 1:1 Device Signature Form

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Your completion and submission of the following form is understood to convey your understanding of and constitute a signature and return of the documents listed below:

1. Scarsdale Schools Technology Responsible Use Policy 5450.1
2. Scarsdale Schools Social Media Policy
3. Acceptable Use of Technology Agreement: Student/Parent Acknowledgement
4. Acceptable iPad/Chromebook Use at Heathcote School

Email *

Name of Student *

Grade *

Teacher *

K - Grossbach

K - Kazanecki

K - Wears

1 - Conklin

1 - Laaraj

2 - Luciano-O'Neill

2 - Reilly-Ross

2 - Rubin-Rinaldi

2 - Weill

3 - DeGrazia

3 - Mangan

4 - Rickard

4 - Frantz-Rago

4 - Volpi

4 - Boyer

5 - Cooper

5 - Edwards

5 - Robert

Parent or Guardian Name *

Please review the linked document, and indicate your understanding and agreement by checking the box below. *

Scarsdale Schools Technology Responsible Use Policy https://www.scarsdaleschools.k12.ny.us/cms/lib/NY01001205/Centricity/Domain/39/ScarsdaleResponsibleUsePolicy-RUP.pdf

I understand and agree to the stipulations set forth in this document.

Please review the linked document, and indicate your understanding and agreement by checking the box below. *

Scarsdale Schools Social Media Policy https://www.scarsdaleschools.k12.ny.us/cms/lib/NY01001205/Centricity/Domain/39/Scarsdale%20Social%20Media%20Policy.pdf

I understand and agree to the stipulations set forth in this document.

Required

Please review the linked document, and indicate your understanding and agreement by checking the box below. *

Responsible Use of Technology Agreement: Student/Parent Acknowledgement https://www.scarsdaleschools.k12.ny.us/cms/lib/NY01001205/Centricity/Domain/39/RUP_student_parent_acknowledgment.pdf

I understand and agree to the stipulations set forth in this document.

Required

Please review the linked document, and indicate your understanding and agreement by checking the box below. *

Acceptable iPad Use at Scarsdale Middle School https://docs.google.com/document/d/19V2CSMJnJCohb_GPxbBMflB-LsvJJe3WulOoVB59g2k/edit?usp=sharing

I understand and agree to the stipulations set forth in this document.

Required

Understanding that I am responsible for all damage and loss to the iPad and case provided to my child, *

Understanding that I am responsible for all damage and loss to the iPad and case provided to my child,

I have opted NOT to purchase the insurance policy.

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