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Technology Booking

Projector

Requested Technology

Answer required for "Requested Technology"

Chromebook

Charger

Hotspot

Other:

Scholar's Name*

Answer required for "Scholar's Name"

Parent's First Name*

Answer required for "Parent's First Name"

Parent's Last Name*

Answer required for "Parent's Last Name"

Email*

Answer required for "Email"

Phone Number*

Number Required

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

I understand the following:

If I fail to return this device. I will be responsible for the replacement cost of the device.

Answer required for "If I fail to return this device. I will be responsible for the replacement cost of the device."

I agree

I must also follow all expectations for this device outlined in the District Acceptable Use Agreement:

Answer required for "I must also follow all expectations for this device outlined in the District Acceptable Use Agreement:"

I agree

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"