2022-23 Grade 7-12 Laptop Agreement Instructions

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Please read and review the Acceptable Use Policy, Device Agreement and Media Release (links below) with your student, then either fill out and print the signature pages on the "Grades 7-12 Agreement" link OR fill out the form below, print and sign. If you do not have a printer, we can print the form so you can sign at time of pickup. Parent and student signature is required, along with the $35 technology fee at time of pickup.
- - If you have questions, please contact Lu Larsen at 218-945-6953 or tech@isd599.org

Link for Grades 7-12 Laptop Agreement - -

http://www.fertilebeltrami.k12.mn.us/documents/Grade%207-12%20Contract.pdf

Link for District Policy Handbook Item # 524 - Internet Acceptable Use and Safety Policy - -

http://www.fertilebeltrami.k12.mn.us/documents/policy%20handbook/524.htm

* * * New for year 2022-23 School year * * *
Included on this form is the Acceptance for Media Release for your student. Please read the Media Release Acceptance statement here - -
https://docs.google.com/document/d/1fRpTUFV_KDV2Mhq_OPW_BCmbzU4rzgtEL84mviDjqek/edit?usp=sharing

Student Name *

Student Grade *

Student Address and Phone # *

Parent Name *

Parent address and Phone # *

Check the following.. By signing, I understand that: *

Sleeves will be provided for the student to transport the device in their backpack from school to home.

Parent/Guardian/Student are financially responsible for any damages incurred to the device.

Students are responsible for using the device in accordance with the district’s Internet Acceptable Use Policy.

Required

Student Signature _______________________________ *

I have read and understand the Account Agreement and Acceptable Use Policy and agree to follow the rules contained in the policy.

Required

Parent Signature ________________________________ *

I have read and understand the Account Agreement and Acceptable Use Policy. If internet is provided at home, I will supervise my child's use of the system in accordance with the acceptable use policy.

I hereby release the district, its personnel, and any institutions with which it is affiliated, from any and all claims and damages of any nature arising from my child’s use of, or inability to use, the district system, including, but not limited to claims that may arise from the unauthorized use of the system to purchase products or services.

I will instruct my child regarding any restrictions against accessing material that are in addition to the restrictions set forth in the District Acceptable Use Policy. I will emphasize to my child the importance of following the rules for personal safety.

I give permission to issue an account for my child and certify that the information contained in this form is correct.

Required

Media Release Acceptance.. Please indicate your choice: *

My student's name and/or picture may be used in academic and/or sports highlights in media venues, including newspaper and school-related social media.

My student's name and/or picture may NOT be used in academic and/or sports highlights in media venues, including newspaper and school-related social media.

Other:

Date *

YYYY

Device Number, Model, Serial # (School will complete this section)

Payment received $35 (School will complete this section)

Submit

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