LITTLE ROCK SCHOOL DISTRICT HAND RECEIPT 2020-21 for Roberts Elementary
FOR TEMPORARY ACCOUNTABILITY OF DISTRICT MATERIAL/EQUIPMENT.
Email address *
Please complete one form for each student.
Parent Name *
Parent Contact Number
If you are sending a representative to pick up the device please provide their name here.
Student ID#
Student Name *
Grade *
If item(s) is/are lost/stolen/damaged, borrower must immediately report to their responsible Administrator who will complete an incident report. Borrower WILL be held personally liable for the fair market value of item lost/stolen/damaged.
A copy of your responses will be emailed to the address you provided.
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