Student Device Protection Plan

SAR Academy Middle School Student Device Protection Plan

Student Name(Required)

First Last

Grade(Required)

First and Last Name of Parent Completing the Form(Required)

Parent Email(Required)

I would like to purchase SAR's Device Protection Plan(Required)

Yes, I agree to the terms of SAR’s Device Protection Plan & Policies.

No, I am opting OUT of purchasing SAR’s Device Protection Plan. I understand that I am responsible for any damage/loss/theft of my child’s iPad and if I use SAR’s services I understand that my child will not receive a repaired iPad without payment of $125.00 or in the case of loss or theft, the full cost of the iPad.

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name