Acceptable Use Form
As a parent or legal guardian of the student listed below, I have read and understand the Acceptable Use
Policy (found on the district website and available in print upon request) and I agree to the following: (Please check where appropriate)

**ALL Boxes should be check for FULL educational access to network and video/audio permissions.

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ALL BOXES NEED TO BE CHECKED FOR FULL EDUCATIONAL ACCESS TO NETWORK AND VIDEO/AUDIO PERMISSIONS. *
Required
Student's First Name: *
Student's Last Name *
Student's School *
Parent (Guardian) phone number:   *
Parent (Guardian) email:   *
Student's email: *
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