South iPad Authorization form

Required

Student iPad Authorization/Request Form for South Elementary - Kindergarten

(complete one form per student)

Please use this form to authorize use/request an ipad for your child.

Student Namerequired

First Name

Last Name

Student's Classroom Teacher's Namerequired

First Name (optional)

Last Name

Parent/Guardian Namerequired

First Name

Last Name

Parent/Guardian Email Addressrequired

Parent/Guardian Phone Numberrequired

Internet Connectivity.

Select one

Terms of Use

I understand I am responsible for maintaining the device in working condition while said device is in my possession. If loss or damage of the device occurs, I may be held financially responsible for the repair or replacement of the device.

I understand that I am responsible for supervising the use of this device and that it will be used for academic purposes only.

I will abide by the district's internet filtering policy whether the device is on or off campus.

I will return the device on upon request.

My digital signature below indicates I have read the above information and agree to the terms and conditions contained herein.

Terms of Userequired

I agree to the Terms of Use

Parent/Guardian Signaturerequired

Typing in this field counts as your digital signature

Today's Daterequired

Must contain a date in M/D/YYYY format