Remote Student Chromebook Request
If your student is working remotely and does not have access to a computer, please fill out this request form so we can arrange for a Chromebook.

DO NOT FILL OUT THIS FORM IF YOU ARE ALL SET!

All parents of students receiving a Chromebook will be given the opportunity to either sign up for insurance or accept responsibility for replacement/repair should the device be damaged.
Email address *
Student Last Name
Student First Name
Grade
Parent Contact Last Name
Parent Contact First Name
Parent Contact Phone Number
Parent Contact Email Address
Submit
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