2025-26 PGASD Chromebook Protection Plan Agreement/Waiver
Each Pine Grove Area School District family will have the opportunity to purchase a protection plan for their child's Chromebook or choose to waive it. Information on what the protection plan covers is listed below. 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
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 2025-2026 school year.
*
Parent/Guardian Signature
*
If you chose the "I plan to purchase the chromebook protection plan", please check the box below.
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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
Credit Card
Submit
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