Brewbaker Middle - Device Request Form

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This form is for any student who does not have their own personal computer/laptop or school issued device. Please complete the Google form to request for an electronic device and one will be prepared for you. Complete the form only once as duplicate request will slow down the process of checking out devices. If your child, already have a school issued device please do not complete this form.

Student's First and Last Name *

Only complete one form for each child, this will allow the school to prepare a device for pick-up.

Current Grade *

Is your child remote or face-to-face? *

Remote (Working online from home or outside of the school )

Face-to-Face (Coming to the building each day)

Required

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