2021-22 Cell Phone/Smart Device/E-Reader Consent Form
This form must be filled out separately for each individual child in each family.
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Date *
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Name of Parent(s)/Guardian(s) completing this form.  (By completing this form, I am giving full consent in lieu of a signature.) *
Name of Student *
Homeroom *
My child will have a cell phone on campus. *
My child with have a smart device, such as an iwatch, on campus.   *
My child will have an e-reader on campus. *
I/We have read and understand the 2021-22 school year St. Patrick School Cell Phone, Smart Device and E-Reader Policies.  I/We agree to support and abide by all policies and procedures contained therein. *
I/We give permission for my child to have a cell phone/smart device on campus. The cell phone/smart device will be held by the homeroom teacher daily, per the Cell Phone/Smart Device/E-Reader Policy. Please note: St. Patrick School does not recommend bringing a cell phone on campus. *
I understand that St. Patrick School is not responsible for any cell phone, (wrist) smart device, or e-reader that is lost or damaged while on campus.  I/We understand that requesting to bring a cell phone/smart device/ E-reader to school places liability for the cell phone/smart device on the student and parents. *
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