Parental Consent Form...
Agreement for the Use of Computers and Internet Access:
(Please print this form, complete it and send to the school:)
__________________________________ (School Name) has chosen to permit students access to computer and internet resources to further the school's educational goals and objectives. Reasonable care has been taken to assure the appropriateness and educational quality of the material available through the use of educational software and Internet access. However, parents and guardians are warned that the Diocese of Savannah does not have total control of the information on the Internet. Parents and guardians are the primary authority responsible for imparting the standards of ethical and legal conduct their child or ward should follow. Therefore, the Diocese of Savannah supports and respects each family's right to decide whether or not the family's child may have access to this resource.
- I am the parent/guardian of the below named student. I have read the Acceptable Use Policy for Computers and Internet Access ("the policy") and I have either explained it to my child/ward ("student") or I have assured myself that the student understands it. I also understand my own and the student's responsibilities regarding computer hardware, software, and Internet access at ________________________ (School Name)
- Please Check One
( ) I hereby consent to the student having access to, and use of, the Internet and computers at ______________________________ (School Name). I, also, hereby Indemnify and hold harmless the Diocese of Savannah and _______________________________(School Name) from any claim or loss resulting from any infraction by the student of the policy or any applicable law.
( ) I do not consent to the student having access to, or use of, the Internet at but I will allow the student to use computers at the school. I realize that the acceptable use policy that deals with computer usage will still be in effect.
Parent or Guardian Name_____________________________________________
Parent or Guardian Signature__________________________________________
Date __________________________________________________
Student___________________________________________
School Name____________________________________________