Internet Use for Patrons Under 18 Years of Age Permission Form
The Internet is a vast online resource for limitless information. Most of this information is useful and interesting, and parents can feel very comfortable having their children learn from the Internet.
However, the Thompson Public Library does not monitor nor censor the information accessed on the Internet and cannot be held responsible for its content. Parents or guardians, not the Thompson Public Library nor its staff, are responsible for Internet information selected and/or accessed by their children.
Please fill out this form and return it the Thompson Public Library. Without it, your child will not be allowed Internet access. Users under 18 years of age are required to have this signed permission slip on file.
Please type or print in ink. Thank you!
- I have read the above statement, as well as the Policy & Procedures for Internet & Computer Use and give my permission for my son/daughter ______________________________ to access the Internet at the Thompson Public Library.
- I do not want my child _________________________ to use the Internet at the Thompson Public Library.
Parent/Guardian signature ___________________________
Date ___________________
Address_________________________________________
City & Zip Code___________________________________
Telephone number _________________________________
Child's Library Card # ___________________________________
Child's Birth Date _______________________________________
Staff initials____________________ Date___________________
Accepted by Library Board 10/15/98
AB / Revised by Library Board 11/30/06
