Acceptable Computer Use (Policy #605.4)

Permission Form for _________________________________  ________________ ________

(student name) (school) (grade)

Parent/guardian permission must be given for all students prior to group or individual access.

I have read the Cedar Falls School District’s Acceptable Computer Use of Online Services Policy. I understand that parent/guardian permission must be given prior to group or individual access.

____ I give permission for my student to have internet access.

____ I do not give permission for my student to have internet access.

Parent Signature: ___________________________________ Date: _______________

(If permission is granted, the following agreement is to be signed by the student.)

I understand the guidelines and the responsibilities that are expected for internet access privileges and I agree to follow them.

Student Signature: __________________________________Date: _______________