Fort Worth ISD User Agreement and Parent Consent

After reading the Fort Worth ISD Acceptable Use Policy, please complete this form to indicate that you agree with the terms and conditions as stated. The signatures of both the student and parent/guardian are mandatory before access may be granted to FWISD-Net Internet services. This document, which includes the Fort Worth ISD Acceptable Use Policy, reflects the entire agreement and understanding of all parties.

STUDENT

As a user of the Fort Worth Independent School District computer network and Internet access services, I have read and hereby agree to comply with the FWISD-Net Acceptable Use Policy. STUDENT SIGNATURE: _____________________________________ DATE: __________ PRINTED NAME: _______________________________________ CAMPUS: ____________ GRADE: ______________ DATE OF BIRTH: _______________ PARENT/LEGAL GUARDIAN As parent/legal guardian of the student signing above, I grant permission for my child to access networked computer services such as Internet, World Wide Web, and electronic mail. I have read and agree to the Fort Worth ISD Acceptable Use Policy, and I understand that I may be held responsible for violations by my child. I understand that some materials on the Internet and World Wide Web may be objectionable; therefore I agree to accept responsibility for guiding my child and conveying to her/him appropriate standards for selecting, exploring, and/or sharing information and media. PARENT/GUARDIAN SIGNATURE: _____________________________________________ DATE: _________ PRINTED NAME: ____________________________________________ ADDRESS: ___________________________________________________________________ HOME TELEPHONE: _________________ DAYTIME TELEPHONE: _________________

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