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2025–2026 Chromebook Agreement & Care Form
This form must be completed by a parent or guardian of a student in grades 7–12 who will be issued a Chromebook as part of the Lee County School District's 1:1 program. Please review and complete all sections.
Student's Full Name
*
First Name
Last Name
Student's Grade Level
*
Please Select
7
8
9
10
11
12
Parent/Guardian's Full Name
*
First Name
Last Name
Parent/Guardian's Phone Number
*
Please enter a valid phone number.
Chromebook Agreement Confirmation
*
I have fully read & understand the above "LCSD Chromebook Manual". I understand that the Chromebook is property of Lee County School District & is issued to my student for educational use. I agree that I have read/agree to the LCSD Chromebook Manual and my student will follow district technology policies and care for the device responsibly. I accept financial responsibility for loss or damage not covered by the Care program.
Care Program Option
*
I choose to participate in the $30 Care program and will issue payment in the form of cash.
I decline the Care program & accept full financial responsibility for any loss or damage. I understand that this could affect my child's instruction should the Chromebook become damaged and payment not immediately remitted.
Digital Signature of Parent/Guardian
*
Submit
Should be Empty: