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Website Blocking Request
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* Indicates required question
Email
*
Your email
What is the URL of the website you wish to have blocked? (http://...)
*
Your answer
Why are you requesting this block? (Select all that apply)
*
It contains age inappropriate language/graphics
It contains illegal content (music/videos/downloads)
It contains reference to banned substances
I am concerned that it may contain viruses/malware
I am concerned that it may be phishing for personal information
Other:
Required
Your Name
*
Your answer
Student's Name
*
Your answer
Student's Grade
*
6th Grade
7th Grade
8th Grade
A copy of your responses will be emailed to the address you provided.
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