2022 Chromebook Checkout
Please complete this form to request a Chromebook.  You will be contacted by email once the Chromebook is delivered to the school.  You must complete and sign the Student Technology Protection Plan in order to pick up the Chromebook.
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Student First Name *
Student Last Name *
School Student Attends *
Student Grade *
Parent\Guardian First Name *
Parent Guardian Last Name *
Parent Guardian Phone Number *
Parent Guardian Email Address *
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