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.

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.

Sync Cord and Block (You must return your cord and block if not returning or not registered) REQUIRED Block Cord Returning and Registered Student - No need to return Please fill out this field.

Damage/Condition REQUIRED

150.0 – Cracked Screen (for current 11th grade iPads)

50.0 – Cracked Screen (for current 8th, 9th & 10th grade iPads)

20.0 – Sync Cord (Only for students not returning or not registered)

20.0 – Charging Block (Only for students not returning or not registered)

0.0 – No Damage (No cracked screen or missing items) Please fill out this field.

Other Notes about iPad