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Computer Check Out Permission Form
11 Questions
For grades 7-12 parents/guardians please fill out this form to check out a device at LAS
Grades 7-8 MUST check out a computer No outside devices.
DEVICE CHECK-OUT FORM
Langdon Area School District (LASD) students/parents are allowed to check out a device that is the property of LASD so that we may continue using the technology away from the school facility. This device is to be used only for educational purposes. No student/parent should use this LASD device for personal use.
All students/parents are required to sign this form acknowledging that they have read and agree with the school system’s device checkout policy. Please sign the bottom of this form to state that you agree to these responsibilities for you and your child. When this form is returned, and signed, we will check out a device to your child(ren). The device information will be added to this form and a copy will be sent home.
1. All use of the school system’s devices must be for educational purposes. Students/Parents are not to use the computers for personal, commercial, business, political, or religious reasons.
2. Students/Parents who check out a device assume full responsibility for basic care of the device.
3. Students/Parents who check out a device assume full responsibility for the security of the device.
4. Students/Parents who check out a device assume full responsibility for reporting device problems, breakage, and damage immediately to the school.
5. Students/Parents who check out a device assume full responsibility for repair costs due to intentional damage or damage due to neglect.
6. Students/Parents who check out a device assume full responsibility for replacement costs of the device in the event the student/parent loses possession of the device for any reason or in the event the device is destroyed or rendered useless due to damage while in the care of the student/parent, including loss of use due to left, fire, flood, lightning, or any other cause.
I have read the Device Checkout Procedure above and agree to comply with it as stated. I also understand that any violation of these procedures may constitute me or my child not having future access to a device for use away from the school facility.
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document. 7th
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I have read the Device Checkout Procedure above and agree to comply with it as stated. I also understand that any violation of these procedures may constitute me or my child not having future access to a device for use away from the school facility.
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document.Cardinal Mobile Device Insurance is a completely optional insurance available to families that wish to protect themselves from damage or replacement costs for their student’s school-issued Mac Air or iPad.
Cardinal Mobile Device insurance covers 100% of all accidental damage, fire, flood, natural disasters, and power surges to your child’s school-issued mobile device. This insurance will provide coverage on school grounds, at home, on the bus, and anywhere your child may travel. If one of these issues arises, an insured device will not be charged any additional repair fees. Please inform the school right away.
Insurance does not cover loss, theft, or damage caused by the use of liquid on or near the mobile device.
It does not cover accessories such as power supplies, cases, or protective sleeves.
Insurance fees are $25 per computer checked out.
Family MAX insurance fee is $50 .
Below there will be a link to pay for insurance online. If you choose not to pay online please submit payment to LAS with your child(ren)'s name(s).
$25 for 1 student device
$50 for Family (please list family members covered below)
Opt out of Insurance- Please sign the next box
Please list students covered under family insurance.
I understand that by not paying for device insurance I am responsible for all costs associated with repairing or replacing the device.
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document.Below is a link to submit your insurance payment.
If you click the link it will take you to another page. Please make sure to submit the form on this page.
Payments can also be sent to the school. Please include the name(s) of the student(s) whose devices will be covered with the payment.
Forms
Computer Check Out Permission Form
1 forms were found.