STUDENT AGREEMENT
FOR
SOMERSET HILLS SCHOOL DISTRICT
INTERNET ACCESS ACCOUNT

                By signing this agreement, I/we are signifying that I/we have read Somerset Hills Acceptable Use Policy and agree to abide by its terms.  I/we understand that the computer network/computers are to be used solely for educational purposes and that there is no expectation of privacy with respect to the use of the same.

                When this contract is complete, it must be returned to the principal’s office.  If there are any questions regarding this policy, please contact a sponsoring teacher or a knowledgeable network administrator.

Last Name: ____________________            First Name: ____________________

Home Address: ____________________________________________________________

Home Phone: ____________________

Age: ____________________ Expected Year of Graduation: ____________________

User Name (please print): ____________________Date: ___/___/___

User Signature: ____________________

Parent or Guardian (If the applicant is under the age of 18 a parent or guardian must also read and sign this agreement)

                As the parent or guardian of this student I have read the policy in its entirety and agree to its terms on behalf of my child.  I hereby give my permission to issue an account for my child and certify that the information contained in this application is correct.

Parent or Guardian’s Name (please print): ____________________

Parent or Guardian’s Signature: ____________________Date: ___/___/___

    Daytime Phone: ____________________ Evening Phone: ____________________