Free Internet Request Form
Please complete the form below to request free internet services through Perrysburg Schools' partnership with Buckeye Cable.  By completing this form, you are giving permission to the district to share your information with Buckeye Cable.  Further instructions will be sent regarding setting up an appointment for installation once this form is completed.  

If you have any questions, please contact Sara Stockwell, Director of Student Services and Well-Being at
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Email *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Student First Name *
Student Last Name *
Student Grade *
Student Building *
Address (for installation purposes) *
Phone Number *
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