2020-21 Chromebook Policy, Insurance, and Social Media Signature Page
This form serves as the signature page and acceptance for the ISD 484 Chromebook Policy, Insurance Options, Social Media and Internet Use Agreement and Discipline Policy. Please review the policy before signing this signature page.
Last Name of Student
First Name of Student
Grade Student is in During the 2020-21 School Year
8th Grade - Note - There is no insurance optiopn for 8th graders. These are older Chromebooks and repairs will be handled on case-by-case basis. Please mark "Waiving" below.
12th Grade - Note - There is no insurance optiopn for 12th graders. These are older Chromebooks and repairs will be handled on case-by-case basis. Please mark "Waiving" below.
Chromebook Usage Policy Acceptance
By typing your parent/guardian name, this acts as your signature, accepting and agreeing to the 2020-21 Chromebook Policy and Social Media responsibility awareness and agreement. These documents can be reviewed on the Chromebooks at Healy page under the High School tab from the district web page.
Typed signature of Parent/Guardian
Decline or Accept the Optional Insurance - Choose only one
Choose one option and sign by typing in your name as the parent/guardian
I AM WAIVING THE OPTIONAL INSURANCE: I have read and agree to the terms and conditions of the 2020-21 1:1 Chromebook Policy, and I will NOT be purchasing the insurance. I understand by waiving the optional insurance fee, I will be solely responsible for any Chromebook repairs as outlined in the Chromebook Policy document. I will also be responsible for full replacement of the device in the case of loss or theft of the Chromebook.
I WILL PURCHASE THE OPTIONAL INSURANCE: I have read and agree to the terms and conditions of the 1:1 Chromebook Policy and WILL be purchasing the non-refundable optional insurance. I understand this insurance will pay for cost of repairs as outlined in the Chromebook Usage Policy. I also understand that negligent use, vandalism, and/or loss of the Chromebook (not including theft) is not covered under the optional insurance fee.
I HAVE ALREADY PURCHASED INSURANCE prior to this year that will continue to cover my child's district-issued Chromebook.
Typed Signature of Parent/Guardian
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This form was created inside of Independent School District 484.