Permission Forms

User Agreement and Parent / Guardian Permission Form

As a user of the Resurrection Catholic School computer network, I hereby agree to comply with the school’s rules outlined in the Acceptable Use Policy – communicating over the network in a responsible fashion while honoring all relevant laws and restrictions.

Student Signature ______________________________________________________

Student Signature ______________________________________________________

Student Signature ______________________________________________________

Student Signature ______________________________________________________

As the parent or legal guardian of the minor student signing above, I grant permission for my son or daughter to access-networked computer services such the Internet and I agree to be bound by the provisions of this agreement. I understand that individuals and families may be held liable for violations. I understand that some materials on the Internet may be objectionable, but I accept responsibility for guidance of Internet use –setting and conveying standards for my daughter or son to follow when selecting, sharing or exploring information and media.

Parent / Guardian Signature _____________________________________        Date _____________

Picture Consent and Waiver

Web Page/Electronic Media/Newspaper

I hereby consent to having my child/children’s picture appear on/in the school bulletin board, yearbook or ______________________________________________ for Resurrection Catholic School. I understand his/her picture will be on display in accordance with the above-mentioned activity. I further acknowledge that my child’s name may/may not be used in connection with his/her picture. I hereby agree on behalf of the my child/children and with agreement of his/her other parent or legal guardian to waive any claims against this school, the Diocese of Harrisburg (and any diocesan or school officers, agents or employees) which may arise from the use of said picture/pictures of the name of your school student/students in the above described event. If at any time, I want my child’s photograph to be removed from the official name of the school web site/electronic media, I acknowledge that it is my responsibility to inform in writing the Principal of this decision.

Student Name _________________________________________ Grade ____________

Student Name _________________________________________ Grade ____________

Student Name _________________________________________ Grade ____________

Student Name _________________________________________ Grade ____________

Parent / Guardian Signature ________________________________       Date ____________

Credit for policy development is given to the Diocese of Cleveland     Revised January 2007

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