Please enable JavaScript in your browser to complete this form. - Step 1 of 4Parent/Guardian Name *FirstLastParent/Guardian Email *EmailConfirm EmailHow many students are you registering (iPads: K- 2nd Grade) *N/A None123456How many students are you registering (Chromebooks: 3rd-12th Grade) *N/A None123456iPad Coverage Cost (1) *Price: $ 25.00iPad Coverage Cost (2) *Price: $ 50.00iPad Coverage Cost (3) *Price: $ 75.00iPad Coverage Cost (4) *Price: $ 100.00iPad Coverage Cost (5) *Price: $ 125.00iPad Coverage Cost (6) *Price: $ 150.00Chromebook Coverage Cost (1) *Price: $ 30.00Chromebook Coverage Cost (2) *Price: $ 60.00Chromebook Coverage Cost (3) *Price: $ 90.00Chromebook Coverage Cost (4) *Price: $ 120.00Chromebook Coverage Cost (5) *Price: $ 150.00Chromebook Coverage Cost (6) *Price: $ 180.00Student RegistrationK-2nd Grade Student Information (iPad Devices)Student Name (iPad Device) *FirstLastStudent Grade *Kindergarten1st Grade2nd GradeSTN (Student Testing Number) *Student Name #2 (iPad Device) *FirstLastStudent Grade #2 *Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #2 *Student Name #3 (iPad Device) *FirstLastStudent Grade #3 *Kindergarten1st Grade2nd GradeSTN (Student Testing Number) #3 *Student Name #4 (iPad Device) *FirstLastStudent Grade #4 *Kindergarten1st Grade2nd GradeSTN (Student Testing Number) #4 *Student Name #5 (iPad Device) *FirstLastStudent Grade #5 *Kindergarten1st Grade2nd GradeSTN (Student Testing Number) #5 *Student Name #6 *FirstLastStudent Grade #6 *Kindergarten1st Grade2nd GradeSTN (Student Testing Number) #6 *If you ARE NOT registering any iPad devices, continue to the next page below to register your Chromebook devices. Back to Information PageContinue to Next Page or Chromebook RegistrationK-2nd Grade Student Information (Chromebook Devices)Student Name (Chromebook Device) *FirstLastStudent Grade *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) *Student Name #2 (Chromebook Device) *FirstLastStudent Grade #2 *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #2 *Student Name #3 (Chromebook Device) *FirstLastStudent Grade #3 *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #3 *Student Name #4 (Chromebook Device) *FirstLastStudent Grade #4 *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #4 *Student Name #5 (Chromebook Device) *FirstLastStudent Grade #5 *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #5 *Student Name #6 (Chromebook Device) *FirstLastStudent Grade #6 *3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTN (Student Testing Number) #6 *If you ARE NOT registering any Chromebook devices, continue to the next page below to complete your registration/transaction. Go Back to iPad RegistrationAcknowledgement and PaymentAcknowledge and PayAcknowledgement of Coverage *I acknowledge that my device is covered from 8/01/2023 (or date of coverage purchase) through 7/31/2024. If my device is damaged before 8/01/2023, or before coverage is purchased, this ADP coverage does not apply.PaymentAuthorize.Net *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeTotal$ 0.00Go Back to Registration PagesWebsiteSubmit
