St. Ann Catholic School

Contact St. Ann School

3064 Pleasant Ave

Hamilton, OH 45015

(513) 863-0604

Fax: (513) 863-2017

Responsible Use of Technology

Catholic School Office

Archdiocese of Cincinnati

USER AGREEMENT FORM

I have read the terms and conditions of the Responsible Use of Technology Policy.
I understand that technological resources are provided for educational purposes only.
I agree to abide by the terms and conditions stated in the Responsible Use of Technology Policy. Additionally I will be responsible for the consequences of inappropriate use of technology, including the Internet, both on and off school property. I understand that consequences may include suspension or revocation of privileges to access the Internet and/or other technological resources, suspension, expulsion, and possible legal action.

User Name (print) ___________________________ School __________________

User Signature ______________________________ Date _________________

Grade ______________________ Homeroom ______________

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Parental Permission Form

(If the Internet user is under 18 years of age, parental permission is necessary.)

I have read the terms and conditions of the Responsible Use of Technology Policy and give permission for my child to access the school's technological resources, including the Internet, in accordance with the provisions of the policy.

Parent/Guardian Name (print) ________________________________________________

Parent/Guardian Signature ______________________________________ Date _________