LITTLE ROCK SCHOOL DISTRICT HAND RECEIPT 2020-21
FOR TEMPORARY ACCOUNTABILITY OF DISTRICT MATERIAL/EQUIPMENT.
Email address *
Please complete one form for each student. / Complete una forma para cada estudiante.
Parent Name/Nombre de padre *
Parent Contact Number/Numero de contacto de los padres *
If you are sending a representative to pick up the device, please provide their name here. / Si va a enviar a un representante a recoger el dispositivo, proprocione su nombre aqui.
Student ID#/ Numero de Identificacion del estudiante
Student Name/ Nombre del estudiante *
School/Escuela *
Grade/Grado *
If item(s) is/are lost/stolen/damaged, borrower must immediately report to their responsible Administrator who will complete an incident report. Borrower WILL be held personally liable for the fair market value of item lost/stolen/damaged. Si los articulos se pierden/son robados/danados, el prestatario debe informar de inmediato a su administrador responsable, quien completara un informe del incidente.
A copy of your responses will be emailed to the address you provided.
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