Parent/Guardian Chromebook Protection Plan Agreement 

CHROMEBOOK PROTECTION PLAN - Cost $30 per school year

Payment is accepted by credit card through Skyward or by check payable to Burrell School District, or by cash sent in to school.
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Student Last Name *
Student First Name *
Street Address, City, State, Zip *
Home Phone or Parent Cell *
School  *
Grade *
Homeroom K-8 (4th period class High School ONLY) *
Protection Plan Insurance - $30  *
Disclaimer:   Choosing NO to decline the Chromebook Protection Plan, I understand I am responsible for 100% of the cost to repair any damage or replace a loaned Chromebook.  The current replacement cost of a Chromebook is $250 or $350 for a touchscreen Chromebook.
Parent/Guardian First and Last Name *
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