2023-2024 Lowell Area Schools Chromebook Agreement Form
Both parents and students must read through and fully understand Lowell Area Schools' Chromebook Handbook and Policy Information in order to sign this form.  ONLY ONE FORM MUST BE COMPLETED FOR EACH FAMILY. This form only needs to be completed once for each student's academic career.
Sign in to Google to save your progress. Learn more
Student 1 First Name *
Student 1 Last Name *
Student 1 ID Number *
Student 1 Current Grade *
Student 2 First Name
Student 2 Last Name
Student 2 ID Number
Student 2 Current Grade
Student 3 First Name
Student 3 Last Name
Student 3 ID Number
Student 3 Current Grade
Student 4 First Name
Student 4 Last Name
Student 4 ID Number
Student 4 Current Grade
Student 5 First Name
Student 5 Last Name
Student 5 ID Number
Student 5 Current Grade
Student 6 First Name
Student 6 Last Name
Student 6 ID Number
Student 6 Current Grade
Parent Contact First Name *
Parent Contact Last Name *
Parent Contact Email Address *
Parent Contact Phone Number *
Highly recommended optional insurance purchase-  Choose one insurance option for ALL students listed and included in the family.  PLEASE NOTE THAT INSURANCE MUST BE PAID NOW USING K12 Payment Center IF COMPLETING THIS ONLINE FORM AND PURCHASING INSURANCE, no other payment forms will be accepted when using this online form.  Payment fees are included in the insurance charge. *
*Verification required for free or reduced lunch
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of LOWELL AREA SCHOOLS. Report Abuse
Google Forms