Technology Usage Consent Form Your full name Caregiver/parent first & last name (Over the age of 18) Your E-Mail Address Child's name First & last name of minor Equipment permission Public UNFILTERED Computers PC Xbox Switch wii PlayStation5 I give my child permission to use the library's technology equipment as listed. Profile names As per our policy, USING PRIVATE PROFILES IS NOT ALLOWED. However, having those here will help the library staff if there is a breach of the policy. Please enter your child's profile names (if applicable) Ratings E (ex. Rocket League, MarioKart, Madden) E10+ (ex. Minecraft, Lego Fortnite) T (ex. Fortnite, Spiderman) M (ex. Call of Duty) These are the ratings that I would prefer be my child's boundaries & to which my child agrees until I complete a new form. Please discuss these together. The library staff will not ensure compliance; these are meant to guide gaming tournaments. Acknowledgement I and my child have read and understand the complete "Technology Usage Policy" (can be found on the Policies tab) Consent By typing your full name (caregiver), this serves as your digital signature. Agree Type your name (minor child) Child age as of today Child's grade Enter grade Today's date Please type or use 0/00/00 format Submit
