Metro Early College High School One-to-One Laptop Program Computer Liability Release /Payment Form

I understand that the cost to use Metro’s computer equipment for the 2015/2016 school year will be: Chromebook (6-9th grade students) $50.00; MacBook Pro (10-11th grade) and MacBook Air (Seniors) $150.00. Students that qualify for free/reduced lunch under the Federal Free and Reduced Lunch Program qualify for a partial scholarship, reducing the fee to $25 for a Chromebook or $50 for a MacBook Pro or Air. This fee covers the cost of the computer’s operation for the year, including normal manufacturer’s warranty, software and hardware upgrades, and necessary maintenance not caused by user.

My signature below indicates my agreement to assume full liability, including financial responsibility, for the laptop computer, accessories and software assigned to my student as a part of Metro High School’s One-to-One Laptop Program. I understand that the laptop is the property of Metro High School. This agreement does not permit the use or loan of the laptop to others, or the copying of any of its software, or the use of Metro High School internet or email access by others, and I agree to monitor and prevent such usage by others. The laptop is to be returned at the end of the school year. Failure to do so will result in an invoice for the full amount of a replacement computer.

I agree that I am responsible for the full cost of replacing the laptop, any of its accessories, or any of its software in the event of loss or theft, and that I am responsible for costs associated with repair of damage, whether from accident, negligence, or any other cause including unreasonable wear and tear, or damage.

I agree by my signature to assume the responsibility and liability for any inappropriate or illegal acts by my student using this equipment. These inappropriate uses would include, but are not limited to, software licensing violations, software piracy, and inappropriate or illegal activities carried out in part or whole using e-mail, online chat, online forums, or the Internet. Metro Early College High School does not bear any responsibility or liability for any inappropriate or illegal use of this computer. I further agree that my student has no right of privacy in the use of this computer, and that I will assure its immediate return upon request.

Costs to consider: The replacement value: Chromebook - $299.00, MacBook Pro $1200, MacBook Air $1000.

2707260v1 *** These replacement costs may be covered under your Homeowner’s or Renter’s insurance. Special laptop insurance coverage is available for purchase at https://my.worthavegroup.com/metroschool. Metro provides this information as a service to you only and not as an endorsement of the company, their products, or services. Should you opt to purchase insurance, the agreement is between you and Worth Avenue; Metro cannot act as an intermediary.

Print Student Name:______

_____ I will immediately surrender this laptop upon request from the school, whether for routine maintenance, investigation of improper use, or any and all other reasons. I understand that I have no expectation of privacy in my use of this equipment, and that I am responsible for following all applicable policies of Metro Early College High School and all applicable State and Federal laws.

Student Signature______Date______

Assurance Form for One to One Laptop Program - Parent to Initial

_____ I have read, understand and agree to be bound by the Acceptable Use Policy for Metro Early College High School and to monitor and assure my student’s compliance.

_____ I understand and agree that should repairs need to be performed, I will receive an invoice. I agree to pay those costs prior to the repaired laptop being returned to my student. _____ I have been made aware of optional third-party laptop insurance available to me for an additional cost.

Payment options: Payment must be made to receive a laptop in the form of cash or checks payable to Metro High School. Credit card payments can be processed through the Metro website at www.themetroschool.org/EZPay. ______Full payment ____($50) _____($150)

2707260v1 ______My student qualifies for free or reduced lunch _____($25) _____($50). The appropriate paperwork (available on our website in the New Student Forms section or on the OH Dept of Education website) has been filed with Metro.

_____Cash _____Check ______Credit Card Payment date______

_____ I decline participation in the One to One Laptop Program. I understand that even though using my own laptop or device, I am still required to follow Metro’s Acceptable Use Policy

Parent/Guardian Signature______Date______

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