PARENT PERMISSION FORM and USER AGREEMENT

As a parent or guardian of a student at Horn Academy, I have read the information regarding the appropriate use of computers at the school. I understand that this agreement will be kept on file at the school. (Questions should be directed to the principal for clarification.)

_____ My child may use e-mail and the Internet while at school according to the rules outlined.

_____ I would prefer that my child not use e-mail and the Internet while at school.

Parent Name (print) ___________________________________________________________

Parent Signature ___________________________________________________________

DATE: _____________________________

As a user of the Horn Academy computer network, I agree to comply with the stated rules on "The use of Computers, The Internet and Electronic Mail" information sheet.

Student Name (print) ________________________________________________________

Student Signature __________________________________________________________

Teacher __________________________________________________________________

DATE: _______________________________