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. https://www.pierz.k12.mn.us/chromebooks-at-healy.html
Last Name of Student *
First Name of Student *
Grade Student is in During the 2020-21 School Year *
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. https://www.pierz.k12.mn.us/chromebooks-at-healy.html
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
Choose One: *
Typed Signature of Parent/Guardian *
Never submit passwords through Google Forms.
This form was created inside of Independent School District 484. Report Abuse