Chromebook Summer Check Out Form
Student First Name
Student Last Name
2019-2020 Grade Level
Student ID Number
Device Number (It should start with KCS on the sticker with the bar code)
Reason I need my KCS chromebook over the summer of 2020.
WHS Summer Assignments
Summer ACT class
Summer school and/or access to Edgenuity
I acknowledge and agree to abide by the original KCS device agreement that is on file with West High School. I also understand that I am responsible for any damages that incur while the device is in my possession and that I will have to turn my chromebook back in when school resumes in the fall of 2020.
Yes I agree to the above statement.
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This form was created inside of Knox County Schools.