Chromebook Repair Request
This form is only to be used by Parent/Guardians of students from 5th-8th grade.
Parent/Guardian Name *
Your answer
Parent/Guardian Contact Number *
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Parent/Guardian Email *
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Student First/Last Name *
Your answer
Student Grade *
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Student Homeroom Teacher *
Your answer
Please describe the damage below. Please be as detailed as possible. How did the damage occur? What time/date did the damage occur? *
Your answer
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