Acceptable Use of Technology Agreement Including Internet Use & Safety Student

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Acceptable Use of Technology Agreement Including Internet Use & Safety
Student

Email *

Signatures/Acknowledgement

Students and residential parent(s) or guardian(s) shall agree to and acknowledge the information disclosed in this agreement by signing below. This agreement is in effect until the student leaves the District or a new agreement is required. For students 18 years and older, the student agrees that they understand and agree to abide this agreement. For all other students, the parent agrees that they have explained this agreement to their child and that the child agrees to abide by the agreement.

Student Name (Last,First, MI)

Grade

I agree to this policy

Yes

I am 18 or older

Yes

Clear selection

Parent Name (First Last)

Home Phone Number (number parent can be reached at)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Brown Local School District. Report Abuse

Forms