Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 4, app B
NDE # 22-002
Revised effective (date to be inserted later)
DATE DUE: Upon
receipt of textbooks
The undersigned parent or guardian hereby acknowledges the receipt of textbooks specified on the list attached hereto, and agrees that they are in good condition and will be returned in the same condition, normal wear excepted, within 15 days after the last day of public school classes. The undersigned agrees that if the textbooks specified in the list are damaged, lost, stolen or not returned, that he or she will pay the school district the reasonable cost of repair or replacement.
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DATE SIGNATURE OF PARENT OR GUARDIAN
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ADDRESS OF PARENT OR GUARDIAN
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PHONE NUMBER OF PARENT OR GUARDIAN
Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 4, app B