Technology Access Form 2020-2021
Parents and Guardians,

We are requesting that all of our families complete this survey to ensure that Canarelli Middle School and the district can support your child's distance learning with technology devices and Wi-Fi.

In order to checkout a device, parents/guardians and students must agree to CCSD’s Acceptable Use Policy (AUP), which outlines responsibilities for using the District’s computer network resources and agree to guidelines and expectations for use of the device.
Email address *
Parent Name (last name, first name) *
Phone Number:
Student Number: *
Student Last Name: *
Student First Name: *
Grade: *
How many children do you have attending Canarelli MS for the 2020-2021 school year? *
Never submit passwords through Google Forms.
This form was created inside of Clark County School District. Report Abuse