November 2022 Chromebook Request: Centennial Hylands Elementary School
Please complete the following Chromebook Request Form if your child requires a device for remote learning. We will be prioritizing one device per family.  

Additional devices will be made available after we have ensured that every family that needs one has one. Please fill out a separate form for each child who requires a Chromebook.



Sign in to Google to save your progress. Learn more
Parent  / Guardian Name *
Parent  / Guardian email address. *
Parent / Guardian Phone Number *
Student Name (please fill out one form per student who requires technology) *
Teacher's name *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Upper Grand District School Board. Report Abuse