calculator contract

Jewel Sanders, Principal
Michael Kryder, Assistant Principal
Stephanie Waller, Assistant Principal
ROSA PARKS MIDDLE SCHOOL CALCULATOR CONTRACT
Student Name __________________________
Teacher Name__________________________
Dear Parent/Guardian,
Please read the following agreement. A calculator will be issued upon return of this signed
document.
GRAPHING CALCULATOR BORROWER’S AGREEMENT
I understand my responsibilities as outlined in this agreement and agree to borrow a graphing
calculator for the duration of the mathematics course in which I am enrolled.
Responsibilities:
1. The graphing calculator will come into my possession in good working order but without
batteries.
2. I must report any malfunctions of the calculator to my math teacher within the first
week of the loan agreement.
3. I will provide my own batteries for this calculator.
4. I am responsible for bringing the calculator to class EVERY DAY.
5. If I loan the calculator to anyone else, any damage to or loss of the calculator incurred
by that individual is my responsibility.
6. If lost, damaged (including a missing cover), or stolen, I will replace the calculator with a
new calculator of the same model in its original packaging. (Approximate cost: $90.00)
7. I will return the calculator at the teacher’s request if the teacher feels I am being
irresponsible in caring for it.
8. I will return the calculator at the end of the school year in good working order.
Signatures by both the student and parent are required. This signifies that you have read and
understand the agreement and that you are willing to assume responsibility for any loss or
damages.
______________________________________________
(Student’s Signature)
______________________________________________
(Parent’s Signature)
______________________
(Date)
______________________
(Date)
Calculator Number: ________________________________________
19200 OLNEY MILL ROAD  OLNEY, MD 20832  Phone: 301.924.3180  Fax: 301.924.3288