DragonNet Application
The student named below is being provided with the loan of a Modem and Router by Pittsburg Community Schools, USD 250 to provide a tool for accessing the district’s internet system.
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Building of Your Oldest Child *
Student First Name *
Student Last Name *
Parent/Guardian 1 *
Parent/Guardian 2
Household Address *
 Phone Number *
Email Address *
Device Loan Agreement
The terms of this Agreement include the following:

1. All loaned items are to be returned promptly and in good working condition by the due date. This agreement may be rescinded at any time at the discretion of Pittsburg Community Schools, USD 250. This includes violations of the district’s Acceptable Use Policy and/or student failure to maintain adequate progress in all classes assigned.

2. All equipment and software shall remain the property of Pittsburg Community Schools, USD 250. DragonNet devices must be returned to the District by the last day of school each school year.

3. The Borrower and their Parent or Guardian accept responsibility for the equipment while it is in the Borrower’s possession.

4. The Borrower must have a signed Acceptable Use Policy on file with the district and agrees to comply with all sections of the policy. By signing this agreement, Student and Parent or Guardian agree to utilize the device in accordance with the district’s Acceptable Use Policy. Violation of the district’s acceptable use policy can result in this agreement being rescinded.

5. The Borrower agrees to use an appropriate method of transporting the equipment and to keep the equipment secure at all times. Damage, loss, or theft must promptly be reported to the student’s teacher, Building/District Administrators, or District Technology Office.

6. The Borrower agrees that this property will be treated with care, with the understanding that the Student, Parent, Guardian will be fully responsible for any costs associated with damage, loss, or theft, up to the cost of a replacement device. The estimated cost of replacement for DragonNet devices is $450.

7. By acknowledging below, the Student and their Parent or Guardian indicate intent to use this equipment only for the purpose of facilitating the educational program of USD 250 Pittsburg Community Schools.
I acknowledge the above *
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