After reading the University of Texas ___________ [Component] ("University") [Acceptable Use Policy], please complete this form to indicate that you agree with the terms and conditions as stated. The signatures of both the student and parent/guardian are mandatory before access may be granted to University Internet services. This document, which includes the [Acceptable Use Policy], reflects the entire agreement and understanding of all parties.
As a user of the University’s computer network and Internet access services, I have read and hereby agree to comply with the [Acceptable Use Policy].
STUDENT SIGNATURE:_____________________________ DATE:_____________
PRINTED NAME:_______________________________________
CAMPUS:_____________________________________________
GRADE:_____________ DATE OF BIRTH:_________________
As parent/legal guardian of the student signing above, I grant permission for my child to access networked computer services through the Internet, World Wide Web and electronic mail. I have read and agree to the [Acceptable Use Policy], and I understand that I may be held responsible for violations by my child. I understand that some materials on the Internet may be objectionable; therefore I agree to accept responsibility for guiding my child and conveying to her/him appropriate standards for selecting, exploring, and/or sharing information and media. I realize that the University would not be able to provide access to these resources if it had to accept liability for a minor’s activities. In exchange for the opportunity for my minor child to participate, I agree to hold the University harmless, and indemnify it against any harms that I or my minor child may suffer as a result of this unrestricted access.
PATENT/GUARDIAN SIGNATURE:_________________________________
DATE:____________________
PRINTED NAME:_________________________________________________
ADDRESS:________________________________________________________
HOME TELEPHONE:____________ DAYTIME TELEPHONE:____________
Intellectual Property Section Homepage | Copyright Crash Course
University
of Texas System | Office of General Counsel
Comments to intellectualproperty@utsystem.edu
Last updated: March 13, 2007