This permission form must be on file before any child between the ages of twelve and seventeen will be allowed to use the unfiltered Internet computer(s) at the Woonsocket Harris Public Library without a parent or guardian present at the workstation.

______________________________ (please print child's name) has my permission to access the Woonsocket Harris Public Library Internet computers. I have read, understood, and agreed to abide by the WHPL Internet Acceptable Use Guidelines. I understand that the Internet, while it offers access to a wealth of personal, professional and cultural material, also ciontains ideas, points of view, and images which may be offensive or disturbing to me or my child. I further understand that as a parent or legal guardian it is my responsibility to determine and monitor my child's use of Internet resources.





____________________________________
Signature of parent

_________________
Date

Woonsocket Harris Public Library
303 Clinton St.
Woonsocket , RI 02895
(401)769-9044