COPIAH JEFFERSON REGIONAL LIBRARY
Computer Use Agreement
Required for all computer users.
NAME:_______________________________________________BRANCH:________
(Print) Last First Middle
FOR PARENTS/GUARDIANS OF A CHILD UNDER 18:
I understand that the Internet (www) is an extremely diverse information resource and that I may find some of the information available on the Internet to be objectionable. In order to comply with the Child Internet Protection Act (CIPA), the Library has activated filters that prevent certain sites from being viewed. However, I fully understand that it is my responsibility to instruct my child as to what information extracted from the Internet is appropriate. I also fully understand that the Library does not have the right or legal responsibility to act in loco parentis and therefore, I will not hold the Library responsible if my child is exposed to inappropriate information from the Internet.
As the parent and/or legal guardian of the child listed above, I hereby give my legal consent to allow my child to have access to the Copiah Jefferson Regional Library’s Internet computers.
I agree to abide by these rules and to follow the directions of the library staff.
___________________________________________________← Applicant Signature
(If under 18)_________________________________________ →_____________________________________
(Print) Parent/Guardian Name Signature