Parental permission agreement
As the parent or legal guardian of the minor child named below, I have
read, understand and accept the rules governing the use of the
library's Internet connection. I understand that some sites on the Internet
may be objectionable, but I accept responsibility and consent to my child
age eleven to fifteen to use the Internet independently. I agree to accompany
my child ten and under or allow my child to use the Internet with the adult
who accompanies him/her to the library.
Parent's Driver's License Number____________________________
Phone Number _____________________________________________
Parents of eleven to fifteen year old children:
Please note that your signature on this permission slip gives your child your permission to use the library's Internet connection at any time in the future whether you accompany your child or not. Children age 11 to 15 without this permission agreement will not be allowed to use the Internet computers unless they are accompanied by an adult at the computer.