PVSD BYOD Agreement 2018-2019
Please complete the information below in partnership with the student and parent/guardian. Please remember to review the BYOD requirements above.
Today's Date *
MM
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DD
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YYYY
Student First Name *
Your answer
Student Last Name *
Your answer
Grade Level *
ELA or Homeroom Teacher's Last Name *
I.e., Mr. Smith just type "Smith"
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Email Address *
Your answer
As a student, I understand I am responsible for bringing my device to school everyday, keeping it charged, and safe. *
(Please Check Box)
Required
Student Signature *
By typing my full name below, I agree that this represents my digital signature and promise to abide by all the rules above.
Your answer
As a parent, I understand PVSD is not responsible for loss or damage of personal devices. *
(Please Check Box)
Required
As a parent, I understand PVSD may look through my child's web history and/or apps if there is suspicion of any improper use. *
(Please Check Box)
Required
Parent/Guardian Signature *
By typing my full name below, I agree that this represents my digital signature allowing my student to bring their own device and agree to all of the above.
Your answer
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This form was created inside of Portola Valley School District.