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Chromebook Pick Up Fall 2022
Use this form to request a Chromebook. Students may pick up their assigned device during the school day from the media center. Please submit a separate form for each student.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Please provide the full first name as it appears on the birth certificate/student registration in Synergy.
Your answer
Student grade
*
9
10
11
12
Choose the window when you will come to pick up your Chromebook.
*
Student will pick up the Chromebook during the school day 8:00 am - 2:20 pm
Who will pick up your materials?
*
The student
A parent/guardian/family member
Send me a copy of my responses.
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