GRADE iPad - Cherry Creek School District · 2019-06-13 · GRADE _____ iPad # _____ 2017-2018 -...

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GRADE _________ iPad # __________________ 2017-2018 - External Use of District Electronic Equipment Parent (Guardian) and Student Liability Agreement for Usage of Cherry Creek School District Electronic Property Whether the damage is on or off school property, this is an agreement between the Cherry Creek School District and the student/parent (guardian), signed below, to check-out or take home district electronic equipment. The student/parent (guardian) agrees to the following terms and conditions while in the possesion of the student from the signed date of this contract until the graduation of leaving of Black Forest Hills Elementary. Proper Care The student/parent (guardian) will take protective measures for checked-out electronic equipment. The student/parent (guardian) will not leave checked-out equipment where it is susceptible to extreme heat/cold (below 32F or above 95F), water, theft, or damage. The student/parent (guardian) will provide for safe handling while transporting checked-out electronic equipment. Most damages or repairs will be covered by the Cherry Creek School District warranty coverage. However, obvious negligence, careless abuse, loss, or theft could result in the student becoming ineligible from checking-out district electronic equipment in the future. The Cherry Creek School District reserves the right to final judgment when considering what is neglect or abuse. Internet Filter (if applicable) Parent (guardian) will provide internet filtering from inappropriate sites that contain pornography, malware,viruses, etc. Acceptable Use The student/parent (guardian) will adhere to the district Student Use of the Internet and Electronic Communications (Policy JS). The student/parent (guardian) understands and has signed the Acceptable Use Agreement. Electronic Equipment Information (To be filled out by BFH Staff) Electronic Equipment Description: iPad – (4) (Air 2)(New 2017) Charger USB Cord iPad Cover Electronic Equipment Make/Model: ________________________________________________________ Electronic Equipment Serial Number: ________________________________________________________ Electronic Equipment Condition: ________________________________________________________ Additional Accessories/Components: ________________________________________________________ Date of Check-Out: _______________________ Date of Return: ___________________ Student Information Student Name (printed first/last): ___________________________________ Student ID Number: ________________________________________________________ Student Phone Number (if applicable): ________________________________________________________ Student Signature: ________________________________________________________ Parent Information Parent/Guardian Name (printed first/last): ________________________________________________________ Parent/Guardian Phone Number: ________________________________________________________ Parent/Guardian Signature: ________________________________________________________

Transcript of GRADE iPad - Cherry Creek School District · 2019-06-13 · GRADE _____ iPad # _____ 2017-2018 -...

Page 1: GRADE iPad - Cherry Creek School District · 2019-06-13 · GRADE _____ iPad # _____ 2017-2018 - External Use of District Electronic Equipment Parent (Guardian) and Student Liability

GRADE_________iPad#__________________

2017-2018-ExternalUseofDistrictElectronicEquipmentParent(Guardian)andStudentLiabilityAgreementforUsageofCherryCreekSchoolDistrictElectronicProperty

Whether thedamage isonoroff schoolproperty, this is an agreement between the Cherry CreekSchool District and the student/parent (guardian), signed below, to check-out or take home districtelectronicequipment.Thestudent/parent(guardian)agreestothefollowingtermsandconditionswhilein thepossesionof thestudent fromthesigneddateof thiscontractuntil thegraduationof leavingofBlackForestHillsElementary.ProperCare●Thestudent/parent(guardian)willtakeprotectivemeasuresforchecked-outelectronicequipment.● The student/parent (guardian) will not leave checked-out equipment where it is susceptible toextremeheat/cold(below32Forabove95F),water,theft,ordamage.● The student/parent (guardian) will provide for safe handling while transporting checked-outelectronicequipment.● Most damages or repairs will be covered by the Cherry Creek School District warranty coverage.However, obvious negligence, careless abuse, loss, or theft could result in the student becomingineligiblefromchecking-outdistrictelectronicequipmentinthefuture.TheCherryCreekSchoolDistrictreservestherighttofinaljudgmentwhenconsideringwhatisneglectorabuse.InternetFilter(ifapplicable)● Parent (guardian)will provide internet filtering from inappropriate sites that containpornography,malware,viruses,etc.AcceptableUse●Thestudent/parent(guardian)willadhereto thedistrictStudentUseof the InternetandElectronicCommunications(PolicyJS).●Thestudent/parent(guardian)understandsandhassignedtheAcceptableUseAgreement.

ElectronicEquipmentInformation(TobefilledoutbyBFHStaff)ElectronicEquipmentDescription:iPad–(4)(Air2)(New2017)ChargerUSBCordiPadCoverElectronicEquipmentMake/Model:________________________________________________________ElectronicEquipmentSerialNumber:________________________________________________________ElectronicEquipmentCondition:________________________________________________________AdditionalAccessories/Components:________________________________________________________DateofCheck-Out:_______________________DateofReturn:___________________

StudentInformationStudentName(printedfirst/last):___________________________________StudentIDNumber:________________________________________________________StudentPhoneNumber(ifapplicable):________________________________________________________StudentSignature:________________________________________________________

ParentInformationParent/GuardianName(printedfirst/last):________________________________________________________Parent/GuardianPhoneNumber:________________________________________________________Parent/GuardianSignature:________________________________________________________

Page 2: GRADE iPad - Cherry Creek School District · 2019-06-13 · GRADE _____ iPad # _____ 2017-2018 - External Use of District Electronic Equipment Parent (Guardian) and Student Liability

GRADE_________iPad#__________________

2017-2018-ExternalUseofDistrictElectronicEquipment

Parent(Guardian)andStudentLiabilityAgreementforUsageofCherryCreekSchoolDistrictElectronicProperty

ReturnPolicy●Thestudent/parent(guardian)willreturnelectronicequipmentfullycharged,ifapplicable.●Thestudent/parent(guardian)willreturnallchecked-outaccessories/components,ifapplicable.●Thestudent/parent(guardian)willreturnallchecked-outmaterialsinsameconditionasoriginallychecked-out.ParentsthatarereceivingaBlackForestHillsTechnologyMUSTchooseoneoftheoptionsbelow.Pleasecheckmarkandaddyoursignaturestatingthatyouunderstandandagreewiththatoption.OPTION1-$30CashChargePriorToTechnologyBroken/DamagedDeviceCoverage Withthisoption,theparent/guardianpaysa$30cashfee.Thisfeeispaidupfrontpriortoanydamageof

thetechnology.IfyouriPadisdamagedorthescreeniscracked,theschoolwillfixthedeviceorreplacethedeviceforthisfee.Withoutthiscoverageyouwillberesponsiblefortherepairorreplacementofthedevice.Thiscoveragewilllastthroughoutyourchild’seducationatBlackForestHillsORuntilthefirsttimethedeviceisdamaged.Thisfeeisnonrefundable.

BycheckingtheboxaboveandsigningbelowyouagreetoOption1.Today’sDate___________________________________Parent/GuardianSignature_______________________________________________________OPTION2–NoChargeUntilTheTechnologyisBroken/Damaged Bychoosingthisoption,theparent/guardianiswavingOption1fromabove.Nomoneyhasbeen

transacted,butifthetechnologydeviceisdamaged,thefamilywillberesponsibleforchargesrequiredtorepairorreplacethedevice.Thestudent/parent/guardianwhengraduatingorleavingBlackForestHillsElementarywillbeaskedtoberesponsiblefortheequipmentcheckedouttothestudent.Ifbeforeleavingtheschoolthereisdamagetothetechnology,youareagreeingtopayforthedamage.Weareaskingthatyoupayapproximately$100.00-$185.00foracrackediPadscreenreplacementfee,dependingonthetypeofdamagetotheiPadthisnumbermaybedifferent.Feesrequiredtofixorreplacedamagedequipmentcanrangefrom$100-$300.

BycheckingtheboxaboveandsigningbelowyouagreetoOption2.Today’sDate___________________________________Parent/GuardianSignature_______________________________________________________*Parentswillbeasked topay the cost to the school fordamaged/broken/lostPowerAdaptors(cost$19.00), USB cords (cost $19.00), and covers (cost $10.00). Please be aware that thesedamaged/brokenaccessorieswillneedtobereplacedforotherstudentstouse.