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Sample Parent Agreement for Technology Resources

Mechanicsburg Area School District

Chromebook/iPad loaner agreement during school closure related to COVID-19


This document is an agreement and understanding between the district, parents, and student for the use of and responsibility for the technology device listed below:



MASD Number

Chromebook or iPad



The following guidelines will be followed:

  1. The equipment listed on this form remains the property of the Mechanicsburg Area School District.
  2. While the district’s intent is to loan this device during the duration of the school closure related to COVID-19, the district maintains the right to request the return of the equipment at any point during and at the conclusion of this school closure.
  3. The student is responsible for using the equipment in the manner in which it was intended and in alignment with the District’s Acceptable Use Policy (AUP).  By signing below you agree to review the AUP located on the district’s website.
  4. The equipment is only to be used by the student listed below.
  5. Care should be given to maintain the equipment in the same condition in which it was received.  If damage does occur, it should be reported to the district as soon as possible.
  6. The parent will be responsible for the replacement cost of the technology in the event of loss or excessive damage.  Chromebook - $350    iPad - $500
  7. Basic tech support for this device related to school use can be received by calling (717) 585-0437 between 8:00AM and 5:00 PM.



Student’s Name:














District Representative and Title:

Jason Baker, Director of Organizational Development - Secondary