Internet Permission Form

Permission Form

Please review the school Internet Acceptable Use Policy, sign and return this permission form to the Principal.
School Name: Urbleshanny  N.S.

Name of Pupil: ………………………………………….
Class: ………………………
Pupil
I agree to follow the school’s Acceptable Use Policy on the use of the Internet. I will use the Internet in a responsible way and obey all the rules explained to me by the school. I promise not to actively seek out materials on the internet that is considered inappropriate for my age or contra to the school ethos. I will not access the internet on any personal device while on school grounds. I also acknowledge that I am not allowed to use my mobile phone or any feature on it while on school grounds. I will not use the internet to abuse another person. I will adhere to the school’s anti-cyber bullying policy.
Pupil’s Signature: __________________________
Date: ____________
Parent/Guardian
As the parent or legal guardian of the above pupil, I have read the Acceptable Use Policy and anti-cyber bullying policy online. (If you do not have internet access please contact the school for a paper copy) and grant permission for my son or daughter or the child in my care to access the Internet. I understand that Internet access is intended for educational purposes. I also understand that that every reasonable precaution has been taken by the school to provide for online safety but the school cannot be held responsible if pupils access unsuitable websites.

I accept the above paragraph: Yes / No
(Please circle as appropriate)

In relation to the school website, I accept that, if the school considers it appropriate, my child’s schoolwork may be chosen for inclusion on the school’s website. I understand and accept the terms of the Acceptable Use Policy relating to publishing children’s work on the school website.

I accept the above paragraph: Yes / No
(Please circle as appropriate)

Signature: __________________________
Date: ________________
Address: _____________________________________________
Telephone: ________________