BURRELL SCHOOL DISTRICT CHROMEBOOK AGREEMENT FORM
Please complete this as soon as possible. It must be completed prior to the end of the first week of school. This should be completed for each student. Thank you.
Student's Last Name *
Student's First Name *
Student's School *
Student's Grade *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Phone Number *
Parent/Guardian Email
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. *
CHROMEBOOK AGREEMENT *
Required
Student Name **Denotes Electronic Signature *
Parent/Guardian Full Name **Denotes Electronic Signature *
Date *
Submit
Never submit passwords through Google Forms.
This form was created inside of Burrell School District. Report Abuse