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Whitehall City Schools
Student Computer Network/Internet Acceptable Use Policy

Please read and understand the Student Computer Network/Internet Acceptable Use Policy before signing this form.  This is a legally binding document.

We hereby certify that we have read and understand Whitehall City Schools' Student Computer Network/Internet Acceptable Use Policy.  We agree that the use of these resources is a privilege, not a right, and understand that the student named below is responsible for his or her own actions when utilizing these resources.  We hereby release the Whitehall City School District and their operators and administration from any and all claims arising from my use, or inability to use district network resources.

We agree that the school shall not be held liable for any for any interruption in service of these electronic resources as the result of suspension due to student misuse, storms, fire, or other network interruption.  It is further understood that misuse of these resources can result in suspension of electronic resource privileges and possible in other discipline.

I further certify that all information provided for the creation of this account is truthful and accurate.

Student's name: _________________________________________________________________
School: _________________________________________________________________
Grade: ______________________________ Homeroom: _______________________
Student's home address: _________________________________________________________________
Student's city, state, zip: _________________________________________________________________
Student's home phone: _________________________________________________________________
Student's signature: _________________________________________________________________
Date: _________________________________________________________________

Parental Agreement and Release

I have read and understand the Student Computer Network/Internet Acceptable Use Policy, and I agree to all its terms and conditions.  I confirm my child's intentions to abide by the terms and conditions therein.

Parent/Guardian Name: ________________________________________________________________
Parent/Guardian Signature: ________________________________________________________________
Relationship to Student: o Parent     o Guardian
Date: ________________________________________________________________
E-mail Address: ________________________________________________________________

o  I would be interested in receiving district information by e-mail.

THIS AGREEMENT IS VALID ONLY FOR THE 2006-2007 SCHOOL YEAR.