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2022-2023 Chromebook Agreement
Please complete the form below. Required fields marked with an asterisk *
Have you reviewed the Chromebook Information and Agreement?
*
Visit the Family Corner of the website to view the agreement before continuing.
Answer Required
Yes
Do you have a wireless internet connection?
*
Answer Required
Yes
No
Parent's Full Name (first and last only)
*
Answer Required
Email
*
Answer Required
Cell Phone
*
Number Required
Parent/Guardian's Driver's License or ID Number
*
Answer Required
List all students, and their grades, who are requesting a Chromebook.
*
Chromebooks are available for all students Grades K-8.
Answer Required
Have your student(s) checked out a Chromebook from Crescent Academy before?
*
Answer Required
Yes
No
I understand that the care of the Chromebook is my responsibility and I will know where it is at all times. I am responsible for all damages caused by loss or neglect.
*
Answer Required
I agree
I understand the cost to completely repair a Chromebook is $300, to repair a screen is $120, and to replace a missing or broken charger is $20 ($10/each piece) if I opt out of the CACS insurance plan today
*
Answer Required
I agree
I will NOT remove the Asset Tag from the device or risk being charged $340.
*
Answer Required
I agree
I understand that my child's Chromebook remains the property of CACS.
*
I am required to return it if my child is no longer a student or at the end of the school year.
Answer Required
I agree
I agree to return my child's Chromebook, case, power cords, and accessories in good working condition IF MY CHILD IS NO LONGER A STUDENT or at the end of the school year.
*
Answer Required
I agree
I understand that parent/guardians are the only adults allowed to pick up Chromebooks.
*
Answer Required
I agree
My child will protect the Chromebook by keeping it in the case at all times.
*
Answer Required
I agree
My child will be careful when inserting/removing cords and cables.
*
Answer Required
I agree
My child will not place decorations (such as stickers, markers, etc.) on the Chromebook or case.
*
Answer Required
I agree
My child will never loan the school-issued Chromebook to other individuals.
*
Answer Required
I agree
My child will keep food and beverages away from the Chromebook.
*
Answer Required
I agree
My child will not expose the Chromebook to extreme temperatures or direct sunlight.
*
Answer Required
I agree
My child will not tamper with or delete any school installed applications or software.
*
Answer Required
I agree
My child will not disassemble any part of the Chromebook, attempt any repairs, or take it elsewhere to be repaired.
*
Answer Required
I agree
My child will use the Chromebook in ways that are educational AND appropriate.
*
Answer Required
I agree
My child will follow the CACS Acceptable Use Virtual Learning Code of Conduct and our Network and Internet Acceptable Use Policy at all times.
*
Answer Required
I agree
I will file a police report in case of theft, vandalism, and other acts covered by insurance.
*
Answer Required
I agree
I will notify Mrs. Bailey if my child's Chromebook gets broken or if I cannot get it to work.
*
Answer Required
I agree
I understand Chromebooks and accessories must be returned in good/fair condition at the end of the school year or if my child is no longer a CACS student. If it is not returned, you will be responsible for the full replacement cost of $340. Failure to pay will result in collection agency referral and law enforcement involvement.
*
Answer Required
I agree
Device Coverage (Payments will be accepted in person. It is refundable if not used.)
*
Please select the coverage you're interested in.
Answer Required
Coverage for 1 device - $30.00
Coverage for 2 devices - $50.00
Coverage for 3-5 devices - $70.00
I'm not interested in device coverage and will be responsible for any damages.
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