One-to-One Contract
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Black River High School/Middle School
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One–to–One
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Chromebook Contract
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Student's Name (please print)Grade:
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Parent/Guardian Name
(please print)
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We understand that Black River School is offering to provide each student with a Chromebook and associated equipment to use for academic purposes. The student/parent/guardian agree to be responsible and handle the Chromebook and associated equipment with care at all times.
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We have read & understand the FAQs sheet
on the school’s One-to-One Program.
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Parent Initials
Student Initials
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We understand our rights, privileges, and responsibilities as pertaining to information technology use and the responsibilities (possibly including financial in the case of damage or loss) for participating in the One-to-One Program.
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Chromebook Issue Options(please check the one that applies to your child and initial in the space provided)
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Full-time Chromebook IssuePlease issue a Chromebook to my child for in school use
AND to take home.
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Parent Initials
Student Initials
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Part-Time Chromebook IssueI am not granting my child permission to take the Chromebook home.
My child has their own device or access to a device at home.
Please loan a Chromebook to my child for in use school if needed.
For example, if my child's device is unavailable (not charged).
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Parent Initials
Student Initials
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No Chromebook IssuedI do not want my child to have a Chromebook. I recognize that my child will be responsible for accessing digital materials on the internet through other means; in the BR LLC, at HUB, at the local library or on a device at home.
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Parent Initials
Student Initials
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Student SignatureDate
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Parent SignatureDate
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Please sign and return immediately. Students need an Internet accessible device to do school work.
Contract must be signed before student will be issued a Chromebook.
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One-to-One Agreement