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Request for Technology
To be filled out by a Parent or Guardian
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Your Name
*
Your answer
Your Contact Info
*
Please enter a phone number or email address so that we can follow up with you.
Your answer
Your Student's Name
*
Your answer
Your Students Primary School
Choose
Arcata High School
McKinleyville High School
Six Rivers Charter High School
Pacific Coast High School
Mad River High School
Do you need a Chromebook?
Yes
No
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Do you need a Hotspot?
Yes
No
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