Student Technology Usage Agreement
4th Ė 12th Grades
I have read the Gasconade County R-II School Districtís Internet Usage Policy 6320 and Regulation 6320 and agree to comply with all their provisions and will communicate over the internet in a responsible fashion while honoring all relevant laws and restrictions.
Student Signature _____________________________________________Date __________________
Parent Technology Usage Agreement
As the parent or legal guardian of the minor student signing above, I certify that I have read the Gasconade County R-II School Districtís Policy 6320 and Regulation 6320 on Internet Usage, and I hereby grant my son/daughter permission to access the internet.† I understand that violation of these provisions may result in disciplinary action against my son/daughter as outlined under Consequences of page 4 Regulation 6320. I understand that individuals and families may be held liable for violations.† I understand that some materials on the internet may be objectionable, but I accept responsibility for guidance of internet use, setting and conveying standards for my son/daughter to follow when selecting, sharing, or exploring information and media.
Parent Signature _______________________________________________Date__________________
Name of Student ____________________________________________________________________
††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Please Print
Home Address ______________________________________________________________________
Home Telephone ____________________________________________________________________
SIGNED FORM MUST BE RETURNED TO SCHOOL BEFORE STUDENT WILL BE ALLOWED INTERNET ACCESS.