Student Account Agreement

Student Section

Student Name __________________________ Grade ___________
School ________________________________

I have read the District's Student Safe and Responsible Use Internet Policy. I agree to follow the rules contained in this Policy. I understand that if I violate the rules my account can be terminated and I may face other disciplinary measures.

Student Signature _______________________ Date ____________


Parent or Guardian Section

I have read the District's Student Internet Safety and Responsible Use Policy

I hereby release the district, its personnel, and any institutions with which it is affiliated, from any and all claims and damages of any nature arising from my child's use of, or inability to use, the District system, including, but not limited to claims that may arise from the unauthorized use of the system to purchase products or services or exposure to potentially harmful or inappropriate material or people. I understand that I can be held liable for damages caused by my child's intentional misuse of the system.

I will instruct my child regarding any restrictions against accessing material that are in addition to the restrictions set forth in the District Policy. I will emphasize to my child the importance of following the rules for personal safety.

For elementary students
I hereby give ( ) do not give ( ) permission for my child to use the Internet. I understand that this permission includes permission for my child to access information through the Web, receive e-mail communications through a class account, and engage in other educationally relevant electronic communication activities.

I hereby give ( ) do not give ( ) permission for the school to post the following information/material on the Internet: Students will use a limited student identification (first name and last initial or other school-developed identifier). Group pictures without identification of individual students are permitted. Student work may be posted with the limited student identification. All student posted work will contain the student's copyright notice using the limited student identification (e.g. © 2002, jjwill Student at Adams Elementary School).

For middle school students
I hereby give ( ) do not give ( ) permission for my child to use the Internet. I understand that this permission includes permission for my child to access information through the Web, receive an individual e-mail account, engage in other educationally related electronic communication activities.

I hereby give ( ) do not give ( ) permission for the school to post the following information/material on the Internet: Students will use a limited student identification (first name and last initial or other school-developed identifier). Group pictures without identification of individual students are permitted. Student work may be posted with the limited student identification. All student posted work will contain the student's copyright notice using the limited student identification (e.g. © 2002, jjwill Student at Adams Elementary School).

For high school students
I hereby give ( ) do not give ( ) permission for my child to use the Internet. I understand that this permission includes permission for my child to access information through the Web, receive an individual e-mail account, engage in other educationally related electronic communication activities, and provide personal information to others for education or career development reasons or as approved by school staff.

I hereby give permission for the school to post the following information/material on the Internet:

( ) Option I: Students will use a limited student identification (first name and last initial or other school-developed identifier). Group pictures without identification of individual students are permitted. Student work may be posted with the limited student identification. All student posted work will contain the student's copyright notice using the limited student identification (e.g. © 2002, jjwill Student at Adams Elementary School).

( ) Option 2. Students may be identified by their full name. Group or individual pictures of students with student identification are permitted. Student work may be posted with student name. All student posted work will contain the student's copyright notice including the student's name.

( ) Option 3. No information or material may be posted.

Parent Signature _________________________ Date ___________

Parent Name ___________________________

Home Address __________________________ Phone __________
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This space reserved for System Administrator

Assigned User Name:_____________

Assigned Temporary Password:______________