Internet Access Parental Permission Form

Please complete and return this form to your computer teacher.

Name of Student: ________________________________ Class: _________


Student

I agree to comply with the school rules on the use of the Internet. I will use the network in a responsible way and observe all the restrictions explained to me.

Student Signature: _________________________ Date: _____________

Parent

As the parent or legal guardian of the above student, I have read the Internet Permission Form and grant permission for my daughter to access the Internet. I understand that Internet access is designed for educational purposes. I also understand that the school cannot be held responsible if students access unsuitable websites, but that every reasonable precaution has been taken by the school to provide for online safety.

Signature of Parent/Guardian:____________________________

Date: ____________ Home Telephone: ______________