Chromebook Request Form
For those who have computers, tablets, laptops, etc. Please Disregard!

For those families who need a Chromebook please be aware that it is one per household.

Please fill this out and submit so we can get this ready for pick up.
Pick Up Days and Times
Tuesday, March 24th, 2020 from 10-3 For Families with Last name A - H

Wednesday, March 25th, 2020 from 10-3 Families Last Name I - Q -

Thursday, March 26th, 2020, from 10-3 Families Last Name R-Z

Anyone who missed it can pick up theirs on Friday, March 27th from 10-3
Students First And Last Name *
Your answer
Grade
Siblings Enrolled at Harmony Science Academy
Your answer
Parents/ Guardian Last Name *
Your answer
Parents/ Guardian First Name *
Your answer
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