Student / Parent Technology Loss / Damage - Waiver
The replacement cost of the lost device is based on the cost of the replacement of the device at the time of loss . A student / parent / guardian is fully responsible for the replacement cost of any device lost while in their possession . Replacement costs for accessories including but not limited to , cases , charging cords , etc . will be based on the cost at the time of replacement . See Comparison Chart below :
To join the Loss / Damage Waiver Opportunity program , see below for payment options . Please see comparative insurance chart below :
Cost of Lost / Damaged iPad Per Occurrence Replacement Cost of Charger / Accessories / Keyboard Per Occurrence Cost of Repair Per Occurrence
Please initial and confirm :
With Loss / Damage Waiver Program Covered ( See Waiver Fee Below )
Covered ( See Waiver Fee Below )
Covered ( See Waiver Fee Below )
Cost of Damage Waiver Program $ 25 Per Occurrence
Without Loss / Damage Waiver
$ 400
Minimum charge $ 40
$ 400
____ I understand any violation of the terms of this agreement may subject me to disciplinary action .
For the Damage Waiver Program : This payment will cover my student ’ s iPad for one occurrence during the current school year . DEADLINE FOR PAYMENT IS OCTOBER 15 th or 30 days from the date of registration . This coverage may be renewed after each occurrence for the same fee .
____ I have paid online through MySchoolBucks . com .
____ I have included a check made Payable to Enfield Public Schools with my child ’ s name , school , and grade on the check .
____ I do NOT want to participate in the Loss / Damage Waiver for my child ’ s iPad . I understand I am responsible for the replacement cost of the device should it get broken , stolen or lost . ____ I have read , understand and accept the parent / student responsibilities enclosed in this EPS
Technology Handbook .
Parent / Guardian Signature : ______________________________________
Date : __________________
Student Name : _____________________________ Gr ._____ School _________ ID #: _____________
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