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Local School District

301 South Oak Street
West Lafayette, OH 43845
Telephone: 740-545-6354
Fax: 740-545-6336
Permission to take Device Home

Please submit and print this form for permission to take your school device home over the summer. Return the completed form to Shirley Smith's mailbox in your building office. By submitting this form, you agree to use the device appropriately and to return the device at the beginning of August for system work. Once you submit the request on-line, you will receive an e-mail with a 7530B F1 form attached. This form needs to be completed (including principal's signature) and returned to your building office before you leave for the summer.

I acknowledge that the school device is in my keeping. I will use the device appropriately and will return it to the district office in early August.
Type of Device: (laptop, iPad etc)
Ridgewood Inventory Tag Number of Device:
Signature:_____________________________ (sign when remitting to office)
Your Name:
Your Email:

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