Pine Grove Area School District Chromebook Guidelines - 2021-2022
Each Pine Grove Area family will need to complete the Chromebook Guidelines form prior to a Chromebook being issued to a student. Each family has the option to purchase a protection plan for each Chromebook or choose to waive it. The cost to purchase the plan is $20 for the first child and $15 for each additional child.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Student Name(s)
*
First Name
Last Name
Grade
School
1st Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
2nd Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
3rd Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
4th Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
5th Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
6th Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
7th Student
K
1
2
3
4
5
6
7
8
9
10
11
12
High School
Middle School
Elementary School
Cardinal Virtual Campus
Chromebook Care and Procedures
Parent/Guardian Signature
*
Communications and Information Systems Acknowledgement
Parent/Guardian Signature
*
Student Signature
*
2021-2022 Chromebook Protection Plan Agreement/Waiver
Protection Plans/Waiver
*
Please Select
I choose to waive the protection plan.
I plan to purchase the protection plan.
By signing, I acknowledge that I waive the protection plan for the 2021-2022 school year.
By signing, I acknowledge that I understand the protection plan for the 2021-2022 school year.
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Chromebook Protection Plan(s) - 1 plan per student
$
20.00
1 Plan
2 Plans
3 Plans
4 Plans
5 Plans
6 plans
7 plans
Debit or Credit Card
Submit
Should be Empty: