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Laptop/Device(s) Use Agreement Form

Please complete the form below. Required fields marked with an asterisk *

Laptop/Device(s) Use Agreement Form

Laptop computers and devices are valuable, fragile and desireable commodities.  It is important that special precautions are taken to protect and guard them.  The following safeguards are to be implemented and observed: 

  1. The laptop/device(s) listed below is issued to you and should be used by Extera students only, for educational purposes
  2. You ARE responsible for the Latptop/Device(s) if it is lost, stolen or damaged from misuse.  You will be liable for replacing or repairing the Laptop/Device(s).

Parents/Guardians, please sit with your child to review and sign in agreement with the policy.

User Responsibilities: Please check each item that you are in agreement with (ALL must be checked)*
Answer Required
Usage Guidelines: Please check off all areas to show you understand the guidelines set forth*
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I hereby accept reponsibility for the loss of theft, or any damage, to the laptop/device(s) listed below.  I further agree to hold Extera Public Schools, its governing board and its officers, harmless of any and all laibility arising from any injury or loss resulting for the condition or use of this laptop.

I agree to return the technology to Extera Public Schools when requested.  If I damage or lose the device, the school site will conduct and investigation to determine if the damage was accidental, willful, or negligent, and such damage could result in: 

1) loss of access to the device

2) Financial responsibility

3) in school suspension or work in lieu of payment

4) tech school

Please note we are entered into a warranty and repair agreement.  DO NOT ATTEMPT TO REPAIR THE DEVICE ON YOUR OWN.  Doing so will void the warranty and you will be responsible for the full cost of the device.

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