BCSD Wireless HotSpot Parental Consent Form
The Beekmantown Central School District is offering a limited number of free wireless hotspot devices to students who do not have Internet access at home. This program enables students to “check out” Internet service for up to two weeks at a time—absolutely free. Both the device and monthly service fees are fully paid by the district. The program is intended to help BCSD students access online resources at home to help bridge the digital divide and ensure educational equity. To ensure peace of mind, these devices use internet content filtering and are scheduled so that they cannot be used between 11 p.m. and 6 a.m. The borrowing limit is one device per household, but these devices can be signed out repeatedly throughout the year. By initialing this form, the parent agrees to assume all responsibility for equipment signed out to the student. A replacement fee of $99 will be charged if the device is lost, damaged or not returned.
Sign in to Google to save your progress. Learn more
Student's Name: *
Parent/Guardian's Name: *
Parent/Guardian's Phone #: *
Parent/Guardian's Email Address:
Date: *
Parent/Guardian Signature/Initials (By initialing this block you agree to the above terms) *
Please note that on the following screen you will see a link to fill out a reservation form. Click below to acknowledge that you understand you will not receive a wireless hotspot without visiting the next link. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Beekmantown Central School District. Report Abuse