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Internet Policy
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Madison Valley Public Library Madison Valley Public Library Acceptable Use Policy (AUP) for the Internet and Computers
E-mail address: ennislib@3rivers.net This is a public access site and is not guaranteed to be private.
Madison Valley Public Library Acceptable Use Policy (AUP) for the Internet
Children and Young Adult Permission Slip Access Authorization
The Madison Valley Public Library does not censor what computer users choose to view on the Internet. Some sites on the Internet are offensive to some people. Therefore, we require a parent or legal guardian to give written permission for anyone under the age of 18 to use the computer with access to the Internet available at our site. As a parent or legal guardian, you are welcome and encouraged to view the Internet with your child. To use the computer by himself/herself at the Madison Valley Public Library, this permission slip is required.
I am the parent or legal guardian of:
_____________________________________________________________ First name Last name Birth date
We both understand that the use of the Internet is a privilege and inappropriate use as explained in Section C of the AUP will result in cancellation of that privilege. Everyone is expected to abide by legal and generally accepted rules of network etiquette. We understand that children should not give out personal information when using e-mail, chat rooms, and other forms of direct electronic communication (including instant messaging). We have read the posted Acceptable Use Policy and understand it. I now give permission for him/her to use the computer with access to the Internet by himself/herself.
Printed name of Parent or Legal Guardian:___________________________
Signature of Parent or Legal Guardian:______________________________
Date:_________________________________________________________
Phone #_______________________________________________________
Signature of Youth:_____________________________________________
Date:_________________________________________________________
This page must be in our file before we can allow your child to use the computer with access to the Internet. This form must be signed and witnessed by library staff.
Revised and approved Oct 2008
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