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Technology Checkout Form

Chromebook

Student Full Name*

Answer Required

Parent Full Name*

Answer Required

Parent Email*

Answer Required

Parent Phone Number*

Number Required

Check Out Date*

Answer Required

Checked Out Technology*

Answer Required

Chromebook

Hotspot

Chromebook Service Tag (S/N)*

Answer Required

Hotspot Serial Number*

Answer Required

Please type this statement in the box below : I understand that I will be responsible for the fees if we damage the device(s). *

Answer Required

Confirmation Email

Confirmation Email *

Email Required