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685 Fifth Street, Secaucus, NJ 07094 Phone: (201) 974-2000
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1:1 Registration and Insurance 2020-21

Please complete the form below to register your child for a Chromebook and to pay the required insurance.

NOTE: The One-to-One Chromebook Program is limited to students in grades 3-12.

One form is required for each student.

Required fields are marked *.

Student Information

School*
Answer Required
Grade*
Answer Required
Does Student receive Directly (State) Certified Free Lunch?*
Note that this status is is determined directly by the state of NJ, independent of any Free or Reduced Lunch application.
Answer Required

Policy and Insurance Acknowledgments

Parent/guardian must review and agree these with their child.

The documents referenced below may be found on the District website:    1:1 Policies and Guidelines 

I have read and will abide by the District's Acceptable Use of Computer Networks, Computers and Resources*
Answer Required
I have read and will abide by the District's School District Provided Technology Devices to Pupils*
Answer Required
I have read and will abide by the District's 1-to-1 Chromebook Guidelines*
Answer Required

Secaucus Board of Education NJ Anti-Big Brother Act Notification

In accordance with New Jersey Statutes Annotated (N.J.S.A.) 18A:36-39 (P.L. 2013, c. 44), the Secaucus Public School District hereby notifies you that:

The electronic device (Chromebook) we are furnishing may record or collect information on the student's activity or the student's use of the device if the electronic device is equipped with a camera, global positioning system, or other feature capable of recording or collecting information on the student's activity or use of the device.  

The Secaucus Public School District will not use any of the capabilities in a manner that would violate the privacy rights of the student or any individual residing with the student.  

By entering my full name below, I acknowledge that:

  • I am the parent/ guardian of this student
  • I have read Secaucus Board of Education's NJ Anti-Big Brother Act Notification

Insurance

  • Insurance is required to defray the costs of repairs for students and families.
  • Insurance covers accidental damage and theft with a police report.
  • Insurance does not cover lost devices, malicious damage, or unreported theft.
  • Claims, except those due to malfunction of the device, are subject to a deductible.
  • Please review the 1:1 Program WebPage for more information.
  • The annual premium is $40. 
How will you pay? (Check One)*
Please note - checks will NOT be accepted.
Answer Required
Credit/Debit Card Payment
Answer Required
Confirmation Email