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.
Student Last Name
Student First Name
Parent Contact Last Name
Parent Contact First Name
Parent Contact Phone Number
Parent Contact Email Address
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This form was created inside of Milford School District.