This form must be completed before your student accesses district technology or is assigned a Chromebook. Students in grades K-2 will not bring Chromebooks home so insurance is not required for those students; however, the form must be filled out. Students in grades 3-12 have the option of refusing insurance, however that means they will not be able to take their Chromebook home. If you are choosing to purchase insurance, the fee must be paid before your student can take the Chromebook home.

The final checkbox on the form acts as your signature.