BPD3 Chromebook Lending Request Form / Formulario de Solicitud de Préstamo de Chromebook BPD3 (Information has been sent to the respondents of the form)
As we have limited resources, please only complete this for your family or another family that needs chromebook lending. We will contact you to arrange a pickup location, date and time.

Como tenemos recursos limitados, solo complete esto para su familia o otra familia que necesite préstamos de Chromebook. Nos pondremos en contacto con usted para organizar una ubicación de recogida, fecha y hora.
Email address *
Number of Beach Park School District #3 Students in household? / Número de estudiantes de Beach Park School District # 3 en el hogar? *
Student(s) Name (Last, First) / Nombre del estudiante (Apellido, Primer Nombre) *
Your answer
Parent/Contact Email (will be used to communicate about chromebook lending information) / Padre/Correo electrónico principal de contacto (se utilizará para comunicar información sobre préstamos de Chromebook) *
Your answer
Student(s) School(s) / Estudiante (s) Escuela (s) *
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