Device Request
After filling out this form, you will be contacted for an appointment time to pick up the device. Pick up times can only be during school hours. Parents/Guardians must accompany their child to pick up the device and have ID with them. Students should have either their ID card or access to their Pupil Path schedule for identification.
Student Last Name, First Name *
Student's 9 digit ID number *
Current grade *
Home address (number and street) *
Home address (town, New York, zip code) *
Parent's Last Name, First Name *
Parent/Guardian Contact phone number *
Parent/Guardian Email *
Student phone number *
Student Email *
Best pick up time (we will try our best to honor your request) *
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