Budlong Device Request Survey
Please complete this survey if you need a device for your child(ren) to participate in remote learning.
Email address *
Parent Name *
Parent Email Address *
Number of Devices Needed *
Student (1) Name *
Student (1) Grade Level *
Student (2) Name
Student (2) Grade Level
Clear selection
Student (3) Name
Student (3) Grade Level
Clear selection
Student (4) Name
Student (4) Grade Level
Clear selection
Submit
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