Mobile Device User Agreement
North Andover Public Schools
566 Main Street
North Andover, MA 01845
Mobile Device Release Form
Device *
Please choose the device that you are using.
Condition *
Please describe any physical damage upon receiving the mobile device.
Your answer
Asset Tag
Please provide the 6 digit number on the blue asset tag (Property of Town of North Andover) or the last 6 digits of the Serial Number. If you cannot find the Serial Number please leave blank.
Your answer
You should have received the following. If any items are missing please indicate below by checking the appropriate box. If nothing is missing then leave them blank.
Parent / Guardian Mobile Device Release Form Authorization
• I understand that I may lose my mobile device privileges as a result of an inappropriate behavior, and will be financially responsible for damage or loss of any North Andover Public School Mobile Device.

• All items must be returned to the school prior to the end of the current school year.

• I understand that I will be charged for any missing or damaged equipment.

• I have read the North Andover Public Schools Acceptable Use Policy (Student Handbook) and agree to comply with the terms.

• I understand that Internet Filtering is not taking place when the device is not on our network. When the device is at home it is the parents responsibility to ensure that the student is not accessing inappropriate content.

• For iPads I must have an AppleID that is used to manage the Apps that are used on the device and I am responsible for any updates to the iPad.

Agreement *
Selection of the checkbox below signifies agreement with the above statement.
Parent / Guardian Digital Signature *
Please type in your Name (First then Last) example. John Smith
Your answer
Parent / Guardian Email Address *
Please Type in a Valid Email Address
Your answer
Parent / Guardian Current Street *
Please provide Street Name
Your answer
Parent / Guardian Zip Code *
Please provide Zip Code
Your answer
Parent / Guardian Contact Number *
Please provide a valid phone number to be reached
Your answer
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