header logo

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(s) home over the summer. Return the completed, printed form to your building secretary in your building office. By submitting this form, you agree to use the device(s) appropriately and to return the device(s) when returning next school year. If you are not returning next school year, the device(s) need returned by the beginning of August. We are not requiring a 7530B F1 form this year.

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:

To validate your submission, please answer the following math problem:

captcha math problem