Please complete and submit the form below. This form must be filled out and submitted for each student in your household that attends HRMS that
will be issued a Chromebook. 


Chromebook Acknowledgement of Receipt

  • Student Name
  • Signatures

  • Acknowledgement
  • Parent/Guardian
  • Date Format: MM slash DD slash YYYY
  • Acknowledgement
  • Student Name
  • Date Format: MM slash DD slash YYYY