SUMMER CHROMEBOOK CHECKOUT FORM 2021
Chromebooks will be turned in at the conclusion of each school year.  A student/guardian may elect to keep the device during the summer for a fee of $25.

In Person Student Chromebooks will be collected on May 24th & May 25th through their English Classes.  
VLA Student Chromebooks will need to be turned in between May 26th - May 28th to Mrs. Patterson @ EJHS.  
If a student does not return the Chromebook at the conclusion of the school year, the $25 will be added to their Infinite Campus fees account.  This fee will be added on June 1st.
Email *
Student Last Name: *
Student First Name: *
Student Grade: *
Student School Email Address: *
Parent Email Address: *
Are you (Choose One) *
Chromebook Model: *
Chromebook Tag #: *
Chromebook Serial Number: *
You will be contacted when the Summer Chromebook Checkout fee has been added to Infinite Campus.  Contact Mrs. Patterson @ Patty.Patterson@jessamine.kyschools.us for any questions.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jessamine County Schools. Report Abuse