JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Ixonia Request for Devices
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name
*
Your answer
Homeroom Teacher & Grade
*
Your answer
Best way to reach you regarding device pick-up:
*
Email
Phone
My child needs a device at home because...
*
We don't have any device for my child to do their work on other than a phone.
We have other devices but they are being used by our older children.
We have a device. We just need WiFi access.
Other:
Do you have WiFi?
*
Yes
No
We only have WiFi through my phone's hot-spot.
If yes, when does your have access to WiFi?
*
All day/night
Only when someone with a cell phone hot spot is home
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oconomowoc Area School District.
Report Abuse
Forms
