Chromebook check-out form
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Chromebook check-out form

  • Lawrence County Schools



    Student Name:                                                                                      School:                                                                      

    Parent Name:                                                                        

    Parent Email Address:                                                                                                                                                             

    Home Phone:                                                                                        Work Phone:                                                                     



    This box is for OCS office use only. Place serial number/asset number here.
    In this agreement, “we,” “us,” or “our” means Lawrence County Schools or “the District.” “You” or “your” means the parent/guardian of student enrolled in the District. The “property” is a laptop owned by the District with the following serial/asset tag numbers:


    Policy Compliance:






    Loss or Damage:







    Terms of Agreement:

    You will comply at all times with the District’s Student Conduct Policy and Internet Safety and Use Policy incorporated herein by reference and made a part hereof for all purposes. Any failure to comply with these policies may terminate your rights of possession effective immediately and the District may repossess the property.

    Legal title to the property is vested in the District and shall at all times remain in the District. Your right of possession and use is limited to and conditioned upon your full and complete compliance with this Agreement.

    If the property is deliberately damaged, lost, or stolen, you are responsible for the reasonable cost of repair or its fair market value on the date of loss. You must report loss or theft of the property to the District by the next school day after the occurrence.

    If you do not fully comply with all terms of this Agreement in a timely manner, including the timely return of the property, the District shall be entitled to declare you in default and take any and all measures reasonably necessary to take possession of the property.

    You have the right to use and possess the property while your student is enrolled in Lawrence County Schools At the end of the Possession Period or time of withdrawal from Lawrence County Schools, you are required to return the property to the District by the date and time designated by the District at the location designated by the District.


    Appropriation:                  Your failure to return the property in a timely manner and/or the continued use of it for non-school purposes without the District’s consent may be considered unlawful appropriation of the District’s property.


    Usage Fee:                          A usage fee may be charged by Lawrence County Schools for the use of this device. Payment of the fee is due upon checkout by the student.



    I, the undersigned parent/guardian, acknowledge that I have reviewed and understand the terms and conditions of this Student Chromebook Checkout Agreement and agree to the terms and conditions contained in this agreement.



    Parent Signature