_____________ School Year
As a user of the Internet and other technologies offered by the ____________ School District, I have read, fully understand, and will comply with the District's Acceptable Use Policy.
Student Signature ________________Homeroom Teacher _________________ Date __________________
_____________ School Year
As the parent or legal guardian of the above student , I give permission for him or her to use the Internet and other network technologies offered by the school district. I understand the rules of the Acceptable Use Policy and also understand the consequences if rules are not followed. I hereby release the district and its employees from any and all liability arising from my child's use, or inability to use, the District's Internet and/or other networking systems.
Parent/Guardian Signature ______________________________
Date ___________________
Name of Student ______________________________________
Date ___________________
School ______________________________________________
Date ___________________
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