Sample Consent Form

Gaining pupils' and parents' agreement to the Rules for Responsible Internet Use is important but requires sound organisation. Some schools do this once each year, at the same time as checking the home and emergency contact details. The Rules for Responsible Internet Use should be included with the letter to parents to avoid any misunderstanding.

For pupils above the age of 16 and not living at home or for pupils 18 or older, the school should be able to rely on the consent of the pupil alone. Otherwise parent's consent must be obtained. It is also wise to obtain parent's permission to publish pupil's work and to publish pupil's photographs, subject to strict safeguards, on the school Web site.

Anytown School
Responsible Internet Use
Please complete, sign and return to the school secretary

Pupil: Form:
Pupil's Agreement
I have read and understand the school Rules for Responsible Internet Use. I will use the computer system and Internet in a responsible way and obey these rules at all times.
Signed: Date:
Parent's Consent for Internet Access
I have read and understood the school rules for responsible Internet use and give permission for my son / daughter to access the Internet. I understand that the school will take all reasonable precautions to ensure pupils cannot access inappropriate materials. I understand that the school cannot be held responsible for the nature or content of materials accessed through the Internet. I agree that the school is not liable for any damages arising from use of the Internet facilities.
Signed: Date:
Please print name:
Parent's Consent for Web Publication of Work and Photographs
I agree that, if selected, my son/daughter's work may be published on the school Web site. I also agree that photographs that include my son/daughter may be published subject to the school rules that photographs will not clearly identify individuals and that full names will not be used.
Signed: Date:


Based on the Internet Policy of the Irish National Centre for Technology in Education.

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