By writing your name below Parents/Guardians and Students confirm they have read, understand, and agree to the policies listed in the Diocesan Technology Acceptable Use Policy.
Student name(s) and grade(s)
Your answer
Parent/Guardian name(s)
Your answer
Date
MM
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School Support
By writing my name below, I give permission for the school to provide technology services and for my child to use technology in accordance with the rules and code of ethics above.
Parent Guardian name(s)
Your answer
Date
MM
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DD
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YYYY
Distance Learning Addendum
Initial the following statements to confirm the following statements.
Initial - I give permission for my child to participate in video conferencing with school staff and classmates.
Your answer
Initial - I give permission for my child’s video conferences to be recorded (initial).
Your answer
Initial - I give permission for my child to appear in live streams of his or her classroom.
Your answer
Initial - The school may use tools to monitor, remote control, or update devices used for distance learning.
Your answer
Distance Learning Addendum Agreement
By writing my name below, I accept the responsibilities and policies laid out in the distance learning addendum.
Student name(s) and grade(s)
Your answer
Parent/Guardian name(s)
Your answer
Date
MM
/
DD
/
YYYY
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