605.6R2 CONSENT TO STUDENT USE OF THE DISTRICTS DISTRICT‘S COMPUTERS, COMPUTER NETWORK SYSTEMS, AND INTERNET ACCESS

I am the parent or guardian of the student named below and I hereby certify that I have received, read, and understand the Wapello Community School District's Appropriate Use of Computers, Computer Network Systems, and the internet policy.

I recognize that although the Wapello Community School District has taken measures to restrict access to controversial materials, it cannot guarantee that students will be protected from access­ing any controversial materials during the student's use of the District's computers, computer net­work systems, and the internet.

I accept full responsibility for my student's use of the District's computers, computer network sys­tems, and the internet through the District in accordance with the terms, conditions, and guidelines as stated by the District in its policies and regulations and as set out in federal and state law. I re­lieve the Wapello School District and its officers and employees, from any and all financial re­sponsibility that may be incurred by my student's use of the District's computers, computer net­work systems, and the internet.

STUDENT'S NAME:

GRADE: _____ My child may have access to internet: ____Yes ____ No

I hereby give the District permission to publish my child's work, picture,

and/or first name on the internet through the District's web site. ___Yes ____No

Parent or Guardian Name:

PARENT/GUARDIAN SIGNATURE                                           DATE

If you have consented to your child's use of the District's computers, computer network systems, and internet access, please have your child review and sign the following:

I have read the Wapello Community School District's Appropriate Use of Computers, Computer Network Systems, and the internet policy and agree to abide by its provisions. I understand that violation of these provisions will result in the restriction and/or termination of my ability to use the District's computers, computer network systems, and internet access and may result in further discipline up to and including expulsion and/or other legal action. I agree to be responsible for payment of costs incurred by accessing any internet services that have a cost involved.