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Wi-fi Hotspot Request/Check Out Form
Lathrop R-II has purchased a limited number of wireless Internet access points for our students who have no Internet access. Please call 816-659-2330 or email
chris.fine@lathropschools.com
if you have any questions.
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* Indicates required question
Parent Guardian Name (Last, First)
*
Your answer
Best phone number to contact you.
Your answer
Please list all students who will be using this hotspot.
*
Your answer
Parent/Guardian Email Address
Your answer
We agree to use the hot spot in accordance with our acceptable use policy the same as we would as if we were connected to the network at school.
*
Yes
No
We understand the Kajeet Wireless Hotspot and the charger provided are the property of the school and we will return it immediately upon the request of the school.
*
Yes
No
We agree to monitor our student's usage of the Internet because even though this hotspot is equipped with a CIPA Compliant filter, it still may be possible for our student(s) to access unacceptable content.
*
Yes
No
We understand that the school can and does monitor both the time used and Internet sites accessed by this hotspot.
Yes
No
Clear selection
We agree to pay for any damages to the equipment, or to repair or replace any of the items received if determined to be necessary by the school or Kajeet.
*
Yes
No
Parent/Guardian: By typing my name below I indicate that I agree to all terms and conditions stated above.
*
Your answer
Each students named typed below indicates that he/she agrees to all terms and conditions stated above.
*
Your answer
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