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Acceptable Use of Technology Agreement & Media Consent Form
Frank Roberts Jr. High School 2018-2019
Please Read the Acceptable Use of Technology Agreement (
) & the Media Consent Form (
). Parents/Guardians and Students will be required to complete an updated agreement for each child and each school year.
PARENT/GUARDIAN Full Name
I have reviewed the policies outlined in the Agreement and understand that my child will be responsible for following the guidelines when using electronic devices during school and class time. I have read and discussed the guidelines with them and they understand the expectations and consequences for not using technology in an acceptable manner. I understand that if I want to remove my consent for all or certain activities at any time I will need to contact the school principal.
(PLEASE CHECK ALL THAT APPLY)
Local school network and online tools using school-owned desktop computers, laptops and mobile devices.
Personal mobile devices.
YES, I give Media Consent as listed on the Media Consent Form
NO, I do not give Media Consent as listed on the Media Consent Form
PARENT/GUARDIAN Electronic Signature: (An electronic signature, or e-signature, is a legal way to get consent or approval on electronic documents or forms)
I understand and will follow the guidelines for use of electronic devices during school and class time. I understand that I could lose my technology privileges by breaking the Acceptable Use of Technology Agreement and, based on my school’s Code of Conduct, disciplinary action may be taken.
STUDENT Full Name
STUDENT Electronic Signature: (An electronic signature, or e-signature, is a legal way to get consent or approval on electronic documents or forms)
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