605.6E1 - Acceptable Use Signature Form

Parent/Guardian Signature

I have read and understand the information provided regarding appropriate use of technology at Janesville Consolidated School District.  I also understand that my child’s work (writing, drawings, etc.) may occasionally be published on the internet.

I understand this form will be kept on file at the school.

 

____________________________________________
(Parent Name – Print)

 

____________________________________________               _______________
(Parent Signature)                                                                                                      (Date)

 

 

Student Signature

(Parents, please review this policy with your child and have them respond to the following)

I have read the Acceptable Use Policy and agree to abide by these provisions.  I understand that violation of these provisions may constitute suspension or revocation of internet and/or technology privileges.

I agree to be responsible for payment of costs incurred by accessing any internet services that incur a cost.

 

_____________________________________________
(Student Name – Print)

 

_____________________________________________              ________________
(Student Signature)                                                                                                     (Date)

     

 

Approved   09/07/96                        
Reviewed   11/15/21            
Revised 7/13/09