iPad Return Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent Firstname Please enter valid data.

Parent lastname Please enter valid data.

Returning Next Year REQUIRED Yes No Not registered Please fill out this field.

Student Email REQUIRED Please fill out this field. Please enter an email address.

Current Grade REQUIRED Please fill out this field.

Graduation Year REQUIRED Please fill out this field. Please enter valid data.

Barcode Number (Starts with an A) REQUIRED Please fill out this field. Please enter valid data.

(If not returning or not registered you must return all cords, blocks, Apple Pencil and Dell battery) REQUIRED Returning and Registered -No need to return accessories Not Registered - return all accessories Please fill out this field.

Pay for iPad Cracked Screen and if Not Returning/Not Registered damaged or lost items REQUIRED

50.0 – Cracked Screen 8th,9th,10th & 11th grades

20.0 – Apple Sync Cord - not returning/not registered

20.0 – Apple Block - not returning/not registered

129.0 – Apple Pencil 2nd Ed ( 11th) not returning/not registered

150.0 – Dell Battery (10th, 11th) not returning/not registered

0.0 – No Damage or missing items Please fill out this field.

Other Notes about iPad