East Quogue UFSD Computer, Network & Internet Use Agreement Authorization Form

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As the parent or guardian of this student, I have read the District’s Computer and Network Use Policy. I understand that this access is designed for educational purposes. However, I also recognize it is impossible for the East Quogue School District to restrict access to all controversial materials and I will not hold them responsible for materials my child may acquire 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 to the East Quogue School District to issue an account for my child and certify that the information given on this form is correct.

Student's Name (Please print) *

Parent/Guardian Name (Please print) *

Address *

Telephone Number *

Date *

YYYY

Typing your name below indicates that you understand and agree to the terms laid out in the Internet Agreement Policy *

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