RETURN TO MAIN SCHOOL FORMS PAGE/REGRESAR A LA PÁGINA PRINCIPAL

______-NET USER AGREEMENT

After reading the Rules and Responsibilities for _____-NET Use, please complete this form to indicate that you agree with the terms and conditions outlined in the _____-NET Student Acceptable Use Procedure. Return this form to your child's school, where a copy will remain on file. The signatures of both the student and the parent/guardian are required before access to _____-NET services is granted.

As a student of the _____________ County Public Schools and as a user of the district computer network, I have read and hereby agree to comply with the _____-NET Acceptable Use Procedure.

Student's Signature: ____________________________________________

Name (Please print): _________________________________

School: ___________________ Date: ___________________

Birth Date: _________________ Grade: ___________________

As parent/legal guardian of this student, I grant permission for my child to have access to services such as the Internet and electronic mail through _____-NET. I have read and agree to the _____-NET Acceptable Use Procedure and understand that I may be held responsible for violations by my child. I also accept responsibility for conveying to my child the standards outlined in the Rules and Responsibilities for _____-NET Use.

Parent/Guardian's Signature: _____________________________________________

Parent/Guardian's Name (Please print): ___________________________________________