Chromebook Request form
Chromebook Pickup: Friday March 27th 2020 8:00am to 10:00am
TLC Address: 51 E Beverly Place Tracy, CA 95376
Contact us at : 209-290-0511 or
Student First Name
Student Last Name
Which School(s) do you attend?
Classroom/Homeroom Teacher (s)
By checking the box below, you agree to all the terms and conditions set forth in the TLC Chromebook Use Contract (see below)
Student and Guardian Agree to the Terms
TLC Chromebook Contract Page 1
TLC Chromebook Contract Page 2
Never submit passwords through Google Forms.
This form was created inside of Tracy Learning Center.