1:1 Mobile Device Checkout Agreement Agreement between user and District Students will receive a Chromebook to use at school and at home as a means to promote achievement and provide for flexible learning opportunities. Students are expected to use District technology responsibly and they must understand the appropriate and responsible use of the technology and District network resources. The District also expects that students will keep their devices safe, secure, and in good working order. This agreement includes the following specific expectations.

Responsibilities and Restrictions By accepting the possession of this device, I acknowledge and agree to the following conditions: ❏❏ Students are expected to abide by the Responsible Use Agreement (Board Procedure 2022P) at all times. ❏❏ Student use of District equipment is filtered on and off District property. No filter is perfect and the District cannot guarantee students will not intentionally or unintentionally access content that is inappropriate. ❏❏ Students are responsible for all content on their Chromebook. Any inappropriate content, in any form (pictures, text, animation, video, sound, etc) will be grounds for disciplinary action. ❏❏ Students will notify their classroom teacher immediately if the mobile device needs repair, is lost, or stolen. Lost Device Forms can be obtained at the front office or library. Some common sense actions the user must take to protect the device, software, and confidential data that may be on the mobile device include, but are not limited to the following: ❏❏ Do not leave unattended in a car, an unlocked home, or in a public place. ❏❏ Keep information password-protected; log off when you are away from your computer. ❏❏ Protect from liquids or dampness. ❏❏ Protect from extreme temperatures (i.e. do not leave in trunk of car for long periods of time). ❏❏ Transport the mobile device in the provided case. ❏❏ Do not load or add software, apps, or extensions without teacher or administrator permission.

Ownership I understand that I am responsible for any damage to the mobile device. The District or School may request the mobile computing device and software be returned at any time. Upon request by the District/School or termination of the Agreement, I must return the mobile computing device to the District/School, in the same condition it was received, reasonable wear and tear excepted. I understand that the District or School may ask to examine the device at any time.

Conditions and Liability I agree to accept the mobile computing device and software “as is.” In no event shall the District be liable to me for my use of the mobile computing device. I understand that in the event of theft, misuse, or carelessness, there is no provision for replacement by the District. I understand that if loss or damage occurs while the Chromebook is in my possession, I am responsible for any damage, and in case of theft, for filing an official police report and informing my school immediately. Families may elect to enroll in the voluntary assurance program offered by the District.

Assurance Program The BGPS Assurance Program is optional and provides an inexpensive solution for parents/guardians to lessen the financial burden if an accident or theft occurs. Families may opt out of the Assurance Program, but will be fully responsible for any associated cost for damage or theft. The Assurance Program will cover the life of the device. Please Note: Payment for Assurance needs to be prior to receipt of the device.

Return Form to School Media Center

Page 2 of 5 | 1:1 Mobile Device Checkout Agreement

COST

1st Device

Additional Devices per Family

Full Price

$25

$10 per additional device

Reduced Lunch

$20

$8 per additional device

Free Lunch

$10

$6 per additional device

COVERAGE

Accidental Damage

Stolen

1st Incident:

$0 to fix

$25 to replace

2nd Incident:

$25 to fix

$75 to replace

3rd Incident:

Full Cost

Full Cost

Explanation of Coverage:

Accidental damage, fire, flood, natural disaster.

Police report filed within 24 hours of being stolen and copied to BGPS.

• Cords

• Case

• Stickers/defacing exterior of device

• Charger

• Lost Chromebook

• Intentional damage

NOT COVERED

Fine Print • If the device and/or accessory is later recovered in working condition, the fee will be refunded. • If a student leaves the District, but does not return the Chromebook, a fine for the full replacement cost will be placed on the student record, and standard rules for the restriction of records and transcripts will apply. Law enforcement may be involved for the purpose of recovering District property. • If you choose not to enroll in the Assurance program, you will be financially responsible for the full cost of repair or replacement of the Chromebook.

Example Costs Case: $25 Charger: $35 Screen: $120 Keyboard: $77 Touchpad: $30 Device Exterior: $40 Hinge: $25 Full Replacement: $205

Payment and Amounts First Child

Additional Child

Full Payment: $25

Full Payment: $10

Reduced Meal: $20

Reduced Meal: $8

Free Lunch: $10

Free Lunch: $6

Make checks payable to Battle Ground Public Schools

Return Form to School Media Center

Page 3 of 5 | 1:1 Mobile Device Checkout Agreement

CHECK OUT INFORMATION: We have reviewed these rules and regulations with my child and we agree to the terms of this

agreement. All equipment must be returned at the end of school year or earlier in the event of school change or early withdrawal. STUDENT NAME

SIGNATURE

DATE

SCHOOL & GRADE

PARENT/GUARDIAN SIGNATURE

PRINT PARENT/GUARDIAN NAME

DATE

PRIMARY PHONE

Assurance I understand that this is a voluntary program, which will reduce the fines and replacement cost that I may be subject to if the Chromebook on loan to my student is damaged or stolen. Additional students receiving devices will pay the reduced costs listed below. List all students in family including school and grade: STUDENT NAME GRADE LOCATION STUDENT NAME GRADE LOCATION STUDENT NAME GRADE LOCATION STUDENT NAME GRADE LOCATION

If you qualify for free or reduced price meals, you are eligible for decreased fees to participate in the Assurance Program. You must present your current year’s eligibility letter when you sign up, or you will not receive the lower rate. If you do not agree, you will not receive the discounted rate for the Assurance program. Agreeing or disagreeing to share this information will not affect your child’s eligibility for free or reduced-price meals. Please check one of the following:

o I AGREE SIGNATURE DATE

o I DISAGREE

SIGNATURE DATE

Accept BGPS Assurance I have read and understand the rules and the financial responsibilities of the BGPS Assurance Program. I agree to all terms and conditions of the program and voluntarily enroll my student for the current school year. SIGNATURE PRINT NAME DATE

Decline BGPS Assurance I decline to participate in the voluntary BGPS Assurance Program. By doing so, I understand and accept any financial responsibilities for damage, loss or theft of my students Chromebook. SIGNATURE PRINT NAME DATE

Return Form to School Media Center