Parent Request to Resume Take Home Privileges

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Please use this form to request that your child be allowed to take his/her school issued device home. Once this form is completed, a staff member will reach out to you by phone to verify your request prior to student being allowed to resume taking the device home.

Student Name *

School *

Grade *

Parent Name *

Parent Email *

Please Read

By submitting this form, I am requesting that the student listed above be allowed to take their school issued device home. I have read the Device Handbook and agree to all of the terms including the Student Device Loss Plan. I understand Orland School District 135 reserves the right to revoke a students take home privileges as outlined in the Device Handbook.

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