January 2022 Chromebook Request: Sir Isaac Brock Public School
Please complete the following Chromebook Request Form only if you do not currently have a UGDSB device at home.

Pick up of devices is currently scheduled between 12noon - 4pm on Tuesday, January 4, 2022.

Thank you in advance for your patience.  

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Student Name(s) *
Grade and Teacher Name *
Parent  / Guardian Name *
Parent  / Guardian Email Address *
Parent / Guardian Phone Number *
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