iPad Support Request Form

Is your child's iPad acting up? Please complete this short form.

Student Name * Required
First Last
Please enter your student's name
Grade Level
Please select your student's grade level
Student ID * Required
Please enter student ID number
iPad Asset Tag * Required
The asset tag is a blue and white barcode on the back of the iPad
Parent Name * Required
Please enter your name
Email * Required
Enter Email Confirm Email

Please leave an email address where you can be reached
Phone
In case I can't reach you by email, please include a phone number.
What is happening with the iPad? * Required
Tell me anything that can help with troubleshooting the issue
CAPTCHA

Select a School