St Patrick's College BYOD Extended Loan Request
Parents / Carers, please complete this form to request assistance with the BYOD program

The form is forwarded to the Business Manager who will advise on the outcome of the request.

Title *
Ms, Mrs, Mr, Dr, etc
Your answer
Surname *
Your answer
First Name *
Your answer
Student's Surname *
Your answer
Student's First Name *
Your answer
Relationship to student *
Your answer
Student's Pastoral Class *
Your answer
Start Date required *
Include the first date the device is required
MM
/
DD
/
YYYY
Return Date *
The last date the device is required
MM
/
DD
/
YYYY
Reason for the extended loan *
Your answer
All laptops are under warranty covering manufacturer’s defects and normal use of the laptop. It does not cover negligence, abuse or malicious damage
I agree to report any problems, vandalism, damage, loss or theft of the laptop must be reported immediately to the school. *
Required
In the case of suspected theft, I agree to create a police report and provide the event number to the College. *
Required
In the case of loss or accidental damage, I agree to provide a witnessed statutory declaration signed by a parent/carer. *
Required
I understand that laptops that are damaged or lost by neglect, abuse or malicious act, will require reimbursement. The Principal will determine whether replacement is appropriate and/or whether the student is responsible for repair or replacement costs and whether the student retains access to laptop loans. *
Required
Please indicate some appropriate times to discuss your family’s needs and further arrangements to be put in place *
Your answer
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