Waiver for the Laptop Rollout Fee

Please complete a form for each student for which you are requesting a waiver. Submit complete form to your campus principal.

Student First Name: _________________ Student Last Name: _______________

Student Grade Level: ______________________

Parent/Guardian Full Name: _________________________________

Address: ___________________________________________________________

Phone: _____________________________________________________________

I have read and understand the Laptop Policies Handbook. I also understand that even though the laptop rollout fee may be waivered under this request, it does not waiver any additional laptop damage charge(s) that may be incurred in the future.

I am aware that my child will acquire a school laptop for use during the school year and that we are responsible for its appropriate use and care.

Principal’s Signature: ________________________ Date: _____________

Parent’s Signature: __________________________