STUDENT COMPUTER AND INTERNET USE AGREEMENT 363.21 Exhibit

Wautoma Area School District
Approved 10/08/98
Revised 03/09/00

Wautoma Area School District Computer and Internet Use Agreement
To be Completed Annually

Student Section
Student Name:
Grade:
School:

I have read the District computer Acceptable Use Policy and the Computer Software Piracy Policy. I agree to follow the rules contained in the two policies. I understand that if I violate the rules my account can be restricted, suspended, or terminated and I may face disciplinary and legal actions.

Student Signature:
Date:

Parent/Legal Guardian Section
I have read and agree to the District computer Acceptable Use Policy and the Computer Software Piracy Policy. I understand that this access is designed for educational purpose.

I recognize that some controversial materials exist on the Internet. I hereby release the District, its personnel, and any institution with which the District is affiliated from any and all claims and damages of any nature arising from my child’s use of, or inability to use the District system to the extent provided by law. I will instruct my child regarding any additional restrictions that I may impose beyond those set forth in the Computer Acceptable Use Policy and the Computer Software Piracy Policy. I will emphasize to my child the importance of following the rules for personal safety.

Check one:
I give permission for my child to use the network and certify that the information contained on this form is correct.
I do not want my child to access the Internet at school.
Parent/Legal Guardian Signature:
Date:
Printed Name:

Please return this agreement to your child’s school. Students will be denied access until this form is returned.

Cross Reference: Policy 363.21-Computer and Internet Safety Student Policy, 363.22 Computer Software Piracy
Legal Reference: Wisconsin State Statute §943.70(2), 943.70(3)
Cross Reference: Policy 363.21-Computer and Internet Use Student Safety Policy