Please fill out ONE form per student.
Students Last Name
Students First Name
By entering your name below, I accept full responsibility for all the items on this list, in accordance with board policy 3321.1. These items have been loaned to me from the Keyport Public School District for educational use only and will be returned to the technology office in the order in which they were received.
Please enter your first and last name (Guardian)
Please enter your email address (Guardian), you will be contacted by a school administrator to schedule a pick-up time from the Board Office.
Please DO NOT FILL anything below this section. SCHOOL USE ONLY
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This form was created inside of Keyport School District.