Calculator Check Out Form
Please fill out this form with a parent or guardian so that they can sign the form at the bottom.
Sign in to Google to save your progress. Learn more
Email *
Name (First name Last name) *
Student ID number *
Math teacher (or type another teacher's name in Other if for a different class) *
What block do you have math? *
Is this for testing ACT/SAT
Clear selection
Do you want to pick the calculator up in The Den? *
If you want to come pick up the calculator instead of having it placed in the mailbox of the teacher you listed then say yes here.
Parent Signature: By typing my name below I agree to be responsible for the safe keeping and return of the graphing calculator assigned to my student. I understand that loss or damage of the item will result in a fine of up to $100. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Union County Public Schools. Report Abuse