[Education Agency Name]

User Agreement (To be signed by all adult users and student users above grade 5)

I have read, understand, and will abide by the above Acceptable Use Policy when using computer and other electronic resources owned, leased, or operated by the [Education Agency Name]. I further understand that any violation of the regulations above is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked, school disciplinary action may be taken, and/or appropriate legal action may be initiated.

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User Name (please print)

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User Signature                                             Date

Parent Agreement (To be signed by parents of all student users under the age of eighteen)

As parent or guardian of this student, I have read the Acceptable Use Policy. I understand that this access is designed for educational purposes. [Education Agency Name] has taken reasonable steps to control access to the Internet, but cannot guarantee that all controversial information will be inaccessible to student users. I agree that I will not hold the [Education Agency Name] responsible for materials acquired on the network. Further, I accept full responsibility for supervision if and when my child's use is not in a school setting. I hereby give permission for my child to use network resources, including the Internet, that are available through [Education Agency Name].

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Parent Name (please print)

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Parent Signature                                          Date