Flat Rock Middle School Request For New Chromebook

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This form should be completed by the parents/guardians of students who are new to Fayette County Public Schools and/or have never been issued a Chrome Book or other device.

Please fill out a separate form for each child if requesting Chrome Books for multiple new students.

Parent/Guardian Name *

Parent Email *

Student Name *

School *

Grade *

Team and Homeroom Teacher (if known)

The student agrees to follow all policies regarding technology and Chrome Book use. These policies are located in the Fayette County Public Schools 2020-2021 Secondary Student Code of Conduct. *

Yes

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