I, _________________________________, am the parent or guardian of _________________________________, who is in ______ grade.
I hereby certify that I have received, read, understand and agree to the Carroll Community School District’s Appropriate Use of Computers, Computer-Like Equipment, Computer Network Systems, and the Internet Policy.
I recognize that although the Carroll Community School District has taken measures to restrict access to controversial materials, it cannot guarantee that students will be protected from accessing any controversial materials during the student’s use of the district’s computers, computer-like equipment, computer network systems, and the internet.
I accept full responsibility for my student’s use of the district’s computers, computer-like equipment, computer network systems, and the internet through the district in accordance with the terms, conditions, and guidelines as stated by the district in its policies and regulations and as set out in federal and state law. I relieve the Carroll Community School District and its officers and employees, from any and all financial responsibility that may be incurred by my student’s use of the district’s computers, computer-like equipment, computer network systems, and the internet.
My child may have access to internet: _____ Yes _____ No
I hereby give the district permission to publish my child’s work, picture, and/or first name on the internet through the district’s web site. _____ Yes _____ No
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PARENT/GUARDIAN SIGNATURE DATE
If you have consented to your child’s use of the district’s computers, computer-like equipment, computer network systems, and internet access, please have your child review and sign the following:
I have read the Carroll Community School District’s Appropriate Use of Computers, Computer-Like Equipment, Computer Network Systems, and the Internet policy and agree to abide by its provisions. I understand that violation of these provisions will result in the restriction and/or termination of my ability to use the District’s computers, computer-like equipment, computer network systems, and internet access and may result in further discipline up to and including expulsion and/or other legal action. I agree to be responsible for payment of costs incurred by accessing any internet services that have a cost involved.
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STUDENT SIGNATURE DATE
Approval/Revision:
July 2012
September 2017
