Bring Your Own Technology Election Form
ONLY complete if your child will bring their personal device to school daily.
Sign in to Google to save your progress. Learn more
Student's Last Name *
Student's First Name *
School *
Grade *
Parent's Name **I acknowledge that I will receive a copy of the District's Bring Your Own Technology Guidelines and Agreement to complete if I elect for my child to bring their personal device to school daily. *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Burrell School District. Report Abuse