iPad Parent Night Questionnaire - 6th Grade
Please fill out today's date. *
Contact Information
Student First Name *
Your answer
Student Last Name *
Your answer
Parent/Guardian Name *
Your answer
Additional Parent/Guardian Name (Optional)
Your answer
Parent Email
If paying for insurance, a receipt will be emailed to this address within 30 days.
Your answer
Parent Phone Number *
Your answer
What is your preferred contact method(s)? *
Choose all that apply. Must choose at least one.
Do you have currently internet access at home? *
iPad Information
iPad Number *
Your iPad number is printed on your name card.
Your answer
Passcode *
This is the passcode you set when you first activated your iPad. Keep it secure, but don't forget it.
Your answer
Will you be purchasing the $30 iPad insurance to cover accidental damages to the device? *
If you plan to purchase insurance, but pay at a later date, choose YES then select "Pay Later" in the Payment Method box below.
Payment Method
Check Number
Your answer
Please inspect your iPad case for damage.
Describe the damage below so that we can provide a replacement when available.
Your answer
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