D105 Device Agreement Form

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* Indicates required question

I have read the D105 Device Agreement Data Form *

True

Required

Student First Name *

Your answer

Student Last Name *

Your answer

School *

Choose

Gurrie

Hodgkins

Ideal

Seventh

Spring

Grade Level *

Choose

K

1

2

3

4

5

6

7

8

My student will need a device for home use *

Yes

No

Required

My student will need a hotspot for internet access from home *

Yes

No

Required

Submit

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