Remote Learning Device Request
Please Fill out this form to request a device should Casady institute a Remote Learning Plan. If you have multiple students who will need a device, please fill out the form for each student.  

By submitting this form, you acknowledge and understand that it is your responsibility to pick up the device, and all of the accessories, and to return it to the same location at the end of the borrowing period as determined by Casady School.

You also understand that Casady School may only provide limited assistance and it is your responsibility to maintain and keep this device in good working order.  

 In the event that the equipment is lost or destroyed while in your possession, you agree to cover any and all costs associated with the replacement of the lost/damaged equipment.

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Email *
Parent/Guardian First Name *
Parent/Guardian LAST Name *
Mobile Phone Number *
Student First Name *
Student LAST Name *
Student's Grade *
Homeroom Teacher / Advisor *
Additional Comments or Questions *
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