Elm Grove Middle Chromebook Request Form
Each family may request *ONE* device for home use during school closure. Please be aware that you will be asked to sign a damage/responsibility contract in order to obtain a device. The pick up day for technology will be Monday, March 23, 2020 either from 9:00am-12:00pm  or 3:00-6:00 pm.
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Email *
What is your child's last name? *
What is your child's first name: *
What grade is your child in? *
Who is your child's ELA teacher? *
What is the best phone number for reaching you? *
Do you have home internet access? *
Pick up times will be on Monday, March 23, 2020. Please pick your prefered pick up time. *
A copy of your responses will be emailed to the address you provided.
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