School Classroom Device Loan Agreement
Borrower Information
Student Name:
Grade/Class:
Parent/Guardian Name:
Student ID:
Contact Number:
Email Address:
Device Information
Device Type:
Brand/Model:
Serial Number:
Accessories (if any):
Loan Details
Date of Loan:
Expected Return Date:
Agreement Terms
The borrower is responsible for the care and security of the device.
The device must be returned in the same condition as issued, with all accessories.
Any loss or damage must be reported immediately to school staff.
Repairs or replacements due to negligence may be charged to the borrower.
The device is for educational use only and must comply with school policies.
The school reserves the right to recall the device at any time.
Borrower/Parent/Guardian Acknowledgement:
Student Signature:
Date:
Parent/Guardian Signature:
Date:
School Staff Signature:
Date: