ETSD Wireless Hotspot Reservation Form
For families that do not have access to the internet at home, please review the Guide to Low-Cost Internet.
https://www.exeter.k12.pa.us/Page/10779
ETSD is offering a limited number of wireless hotspot devices to students who do not have Internet access at home. This program enables students to “check out” Internet service for use during fall virtual learning. Both the device and monthly service fees are fully paid by the district. To ensure peace of mind, these devices use internet content filtering. The borrowing limit is one device per household. By initialing this form, the parent agrees to assume all responsibility for equipment signed out to the student. A replacement fee of $99 will be charged if the device is lost, damaged or not returned.
* Required
Student's Name
*
Your answer
Additional Students in household
Your answer
Parent/Guardian's Name
*
Your answer
Parent/Guardian's Phone
*
Your answer
Parent/Guardian's Email Address
*
Your answer
Parent/Guardian Signature/Initials (By initialing this block you agree to the above terms)
*
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Exeter Township School District.
Report Abuse
Forms
