BCS 2023 Summer Device Checkout Form - Parent/Student Equipment Agreement

Summer 2023 Checkout Form

Parent/Student Equipment Agreement

THIS MUST BE COMPLETED FOR EACH STUDENT KEEPING OR TURNING IN THEIR LAPTOP

By completing the form below, you and your child agree to all the policies and procedures you check or select.

***Current Seniors (Class of 2023) are NOT eligible to check out laptops for the 2023 Summer.***

***If you have not completed the registration for the 2023-2024 school year, you are NOT eligible.***

***If you are a student not returning to BCS for the 2023-2024 school year, you are NOT eligible to checkout a laptop for the 2023 Summer. You must return your laptop to your school at the designated time/day they provide.***

***2023 Summer School and Summer Learning Camp participants must keep their laptops and complete the form below***

***This Page Must Be Filled Out For Each Child and Each Device.***

Student Information:

Student should be able to complete this section.
All fields are required.
The information will be used by the BCS - IT Department to contact you should we need any clarification about use, damages, and/or collection of BCS issued devices.

Select your choice for the student laptop over the 2023 Summer:*

Answer Required

I want to KEEP my laptop over the summer and I have met all the requirements listed above.

I DO NOT WANT TO KEEP my laptop over the summer and will be turning it in.

I WILL NOT BE RETURNING TO BCS NEXT YEAR and will need to turn my laptop in

Student's Last Name:*

(Name as registered.)

Answer Required

Student's First Name:*

(Name as registered.)

Answer Required

Student's Middle Initial:*

(Name as registered.)

Answer Required

2022-2023 Current Enrolled Grade Level:*

(Grade Level attending during the 2022-2023 School Year)

Answer Required

Student ID#:*

PowerSchool or Clever ID#.

Answer Required

Student's BCS Email Address:*

(School assigned Email Address.)

Answer Required

Student Personal Email Address:*

(Will be used to contact you, if your school email is unavailable. N/A if student does not have.)

Answer Required

Homeroom Teacher:*

(First and Last Name of Student's Homeroom Teacher.)

Answer Required

BCS Bar Code:*

(On the back or bottom of the device and starts with 22_ _ _ _ _ _ _.) Contact your on campus tech if you can't read your barcode or if it's rubbed off.

Answer Required

Serial #:*

(Click the Apple in the upper left corner and select about this laptop - copy and paste Serial #.)

Answer Required

Parent/Guardian Information:

Parent/Guardian is to complete this section.
All fields are required.
The information will be used by the BCS - IT Department to contact you should we need any clarification about use, damages, and/or collection of BCS issued devices.

Parent/Guardian's Name:*

(Parent/Guardian's Full Name - John H. Doe)

Answer Required

Street Address:*

Answer Required

City:*

Answer Required

Zip/Postal*

Answer Required

Home Phone #:*

(If you do not have a Home Phone - enter a Phone # where you may be reached) 901-123-4567

Number Required

Cell Phone #:*

(If you do not have a Cell Phone - enter a Phone # where you may be reached.) 901-123-4567

Number Required

Check this box if you agree to recieving text messeges on the number listed above for updates on laptop if submitted for repair.

Answer Required

Yes, I agree to recieving text messeges for updates on laptop if submitted for repair.

Work Phone #:*

(If you do not have a Work Phone - enter a Phone # where you may be reached.) 901-123-4567

Number Required

Parent/Guardian's Email Address:*

Answer Required

Borrower's Agreement:

Student/Parent/Guardian are to read, understand and complete this section.
All fields are required.

Borrower's Agreement:*

This section should be read, understood and agreed upon by Student/Parent/Guardian (ALL). (All must be selected and agreed upon to continue use of device.

Answer Required

The borrower (Student/Parent/Guardian named above) agrees to assume full responsibility for the safety, care and maintenance of the BCS issued device.

While the device is in the borrower's possession, the borrower agrees to abide by all BCS Policies.

The device is the property of the Bartlett City School District, and as such is subject to monitoring and search of contents at any time.

Please note that the device is equipped with location tracking.

There is NO expectation of privacy in location, use, or data stored on the device.

The information will be used by the BCS - IT Department to contact you should we need any clarification about use, damages, and/or collection of BCS issued devices.

The device must be returned to the district immediately upon request, at the end of the year and/or before moving out of the Bartlett City School District.

I acknowledge that failure to return equipment to Bartlett City Schools will result in having a police report filed by BCS.

Student/Parent/Guardian Signatures:

By typing my name below, I am acknowledging as the STUDENT/PARENT/GUARDIAN that I have read and agree to comply with the BCS rules, as outlined in the above form, as well as the Student Responsible Use of Network and Electronice Media User Agreement and BCS Safety Policy #1021.

Student Signature:*

By typing my name below, I am acknowledging as the STUDENT that I have read and agree to comply with the BCS rules, as outlined in the above form, as well as the Student Responsible Use of Network and Electronic Media User Agreement and BCS Safety Policy #1021.

Answer Required

Parent/Guardian Signature:*

By typing my name below, I am acknowledging as the PARENT/Guardian that I have read and agree to comply with the BCS rules, as outlined in the above form, as well as the Student Responsible Use of Network and Electronic Media User Agreement and BCS Safety Policy #1021.

Answer Required

Please fix the highlighted areas below before submitting.

BCS 2023 Summer Device Checkout Form - Parent/Student Equipment Agreement