Chromebook Technology Fee and Agreement Receipt
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Chromebook Technology Fee and Agreement Receipt
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Complete ALL white sections of BOTH forms below. Grey sections are for school use only.
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A+ Academy Secondary received $25.00 from
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Student Name: Grade:
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A+ Student ID Number: Date:
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For the 2018-2019 Technology and Insurance Fee
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The student named above received one HP 11 Chromebook and Charger
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The student and parent agree to both the A+ Academy Secondary School
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Acceptable Use Policy and Chromebook Checkout Agreement found at
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aplussec.apluscharterschools.org
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Student Signature:
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Parent Signature:
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School Official Signature:
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Device Serial Number:
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A+ Academy Secondary received $25.00 from
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Student Name: Grade:
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A+ Student ID Number: Date:
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For the 2018-2019 Technology and Insurance Fee
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The student named above received one HP 11 Chromebook and Charger
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The student and parent agree to both the A+ Academy Secondary School
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Acceptable Use Policy and Chromebook Checkout Agreement found at
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aplussec.apluscharterschools.org
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Student Signature:
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Parent Signature:
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School Official Signature:
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Device Serial Number:
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