PARENTAL CONSENT
SCOTTISH BORDERS COUNCIL LIBRARY SERVICE
PARENTAL CONSENT:
TO USE COMPUTERS
AND THE INTERNET BY A CHILD UNDER 16YEARS
Name and Address of parent/guardian (block capitals)
………………………………………………………………………….
………………………………………………………………………….
………………………………………………………………………….
………………………………………………………………………….
………………………………………………………………………….
Postcode……………………… Tel: ………………………….
I am the parent/guardian of ………………………………………………………
and I consent to his/her use of the following computer and Internet facilities in Scottish Borders Libraries.
Please tick each facility that you agree can be used
[ ] Computer (must be ticked to allow access to the catalogue and if any of the following are to be used)
[ ] Internet
[ ] Chat sites
I have read the Scottish Borders Council Library and Information Service Acceptable Use Policy and I undertake to ensure that the child for whom I am responsible complies with it and that they will sign in and out each time they use a computer.
Signature:…………….…………………..
Date:………………………….
Data Protection: Please note that the information provided on this form will be held on file for the purpose of maintaining a record of Computer and Public Internet Users. This information will be passed to relevant employees.
Unified Solutions.