Sample Student Parent School Cell Phone Agreement
STUDENT/PARENT CONTRACT
This contract concerns the presence and use of cellular telephones and other electronic signaling devices on the __________________ school campus. Cell phones on campus falls under the district Board policy No. _______ outlined in the Student Handbook on page ___. Signing these forms is an acknowledgment that both parent and child have read and understand the policy and agree to abide by it. All cell phones and phone numbers must be registered at the school Office. If a student is found in possession of a cell phone without these forms having been completed, his or her cell phone privileges will be revoked for the remainder of the school year.
STUDENT CONTRACT
I, __________________, understand that possessing a cell phone on campus is a privilege, not a right, and that permission may be revoked at any time if school policies are violated. I have read the student handbook regarding cell phone policy and agree to its provisions. Additionally, I acknowledge that the school and its staff are not responsible for loss, theft, or damage to my cell phone and furthermore will not dedicate its resources to investigating loss, theft or damage.
Signature _________________________ Date _____________
PARENT CONTRACT
I, __________________, agree to allow my child to possess a cell phone on campus. I acknowledge that the school and its staff are not responsible for loss, theft, or damage to the cell phone and furthermore will not dedicate its resources to investigating loss, theft or damage. I have read the student handbook regarding cell phone policy and agree to its provisions. If my child’s phone is confiscated due to policy violation, I acknowledge that I must come to the school to retrieve it at the convenience of the school staff.
Signature _________________________ Date _____________
PERSONAL CELL PHONE INFORMATION
Cell Phone Manufacturer _______________ Model __________ Color _________ Phone number ________
(If a new cell phone is obtained, immediately visit the school Office to update this form or the contract will be void and privileges revoked.)