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Parent Technology Request Form
Please complete this form to schedule an appointment for chromebook pick up. Once completed, Mr. Colon will email to follow up and confirm your pick up time.
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* Indicates required question
Parent Name / Nombre del padre
*
Your answer
Student Name / Nombre del estudiante
*
Your answer
Homeroom of Student / Salon
*
Your answer
Reason for Appointment / Razón para la cita
*
Broken Chromebook
Never received a chromebook
New to the school / Transfer In
Other:
Required
Day / Time of best availability / día y tiempo para la cita
*
8:00 am - 9:00 am
2:00 pm - 3:00 pm
Monday
Tuesday
Wednesday
Thursday
Friday
8:00 am - 9:00 am
2:00 pm - 3:00 pm
Monday
Tuesday
Wednesday
Thursday
Friday
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