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Internet Access Parental Consent Form
Please read the following carefully:
Inappropriate Use: Examples of unacceptable use (some of which may have legal consequences) include, but are not limited to, the following:
Inappropriate use of the computer facilities of Morton Grove Public Library may result in the user losing his/her computer use privileges. Illegal acts involving library computing resources may also be subject to prosecution by local, state or federal authorities. Morton Grove Public Library staff may ask the child to exit a particular site which violates the Internet Use Guidelines in the Youth Services Department.
By signing below, I assume responsibility for my child's actions and acknowledge that restriction of my child's access to the Internet is solely my responsibility as his/her parent/guardian.
I give my permission for my child to use the Internet station unattended. YES ______ NO _____
My child must have an adult present to use the Internet station. YES ______ NO _____
Parent or Guardians's Signature __________________________________________________
Please print name of parent below and name of child covered in this consent form (Please use a separate form for each child using the Internet.):
Parent: _______________________________________________________________________
Child's Name: _______________________________________
School Grade: _______________________________________ Date: ________________
Child's Library Bar Code Number (if available) _________________________________________________
Address__________________________________________ Phone______________________
Approved by the Morton Grove Public Library Board of Trustees, October 28,1999; updated August 2005.
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www.webrary.org/Inside/polparentalconsent.html
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