User Agreement and Parent Permission Form

I understand that I will be issued a Chromebook for educational use and that I am responsible for proper care, handling, security, storage and use of the device.  I have read and agree to comply with terms and expectations in the Bloomer Middle School Chromebook Handbook.  I understand that my failure to follow the information and expectations outlined in this document may result in disciplinary and/or financial consequences.

Student Name (PRINT) ____________________________________________________________

Student Signature __________________________________________________

Date ____________________

Chromebook Technology Parent Permission Agreement

I have read and discussed the Bloomer Middle School Chromebook Handbook with my child.  As the parent or legal guardian of the student signing above, I understand that my child’s failure to follow the information and expectations outlined in this document may result in disciplinary or financial consequences.

There is a yearly $20 nonrefundable, non-prorated fee for insurance against breakage and maintenance of the chromebook.    The first breakage or malfunction will be covered by the fee.  Any further breaks or malfunctions may result in additional costs to the student.

Fee paid date:  _____________

Parent/Guardian Name (Print) _____________________________________

Parent/Guardian Signature ____________________________ Date _________

The Bloomer Middle School Chromebook Handbook is available by clicking the handbook links above or directly online at https://goo.gl/ElOLMO (case sensitive).