__________________________ SCHOOL DISTRICT

DISTANCE LEARNING
AGREEMENT
AND 
WAIVER


INTRODUCTION

	"Distance learning" technology provides students with unique opportunities 
to receive instruction and to participate in educational programs which would 
otherwise be unavailable to them due to the distance or cost involved.  However, 
due to the very nature of distance learning, each student must accept a higher level 
or responsibility for his/her participation and behavior in order for the program to 
be successful.  Also, students and parents must be willing to allow the audio and/or 
video transmission of student activities to remote locations to be heard and/or 
viewed by persons outside the _______________ School District.

	Therefore, in order to participate in any distance learning offering of the 
_______________ School District, each student and his or her parent/guardian (if 
the student is under 18) is required to sign the forms set forth on two pages which 
follow.

[proceed to FORMS:]



STUDENT AGREEMENT

Due to the special nature of distance learning programs, I hereby agree to abide by 
the following conditions for my participation in any distance learning course or 
offering of the _______________ School District:

1.	I will not behave in a manner which is disruptive or distracting to other 
students.  This includes wearing clothing or otherwise having an appearance 
which, in the opinion of the instructor or supervisor, is disruptive or 
distracting to other students.

2.	I will follow the instructor's directions for participating in the activity.

3.	I will not use language or gestures which are obscene, vulgar, profane, or 
sexually suggestive.

4.	I will participate in classroom discussions or other learning activities to the 
best of my abilities.

5.	My voice, image, physical presence, and participation in class activities may 
be electronically recorded at any time and may be transmitted to instructors, 
students, and other persons in remote locations as part of the distance 
learning course or program.

	I understand that my failure to follow the above rules and conditions may 
result in my being removed from the distance learning class or activity.

____________________________________________	______________________________
Student name      (PRINT CLEARLY)			Home phone


____________________________________________	______________________________
Student signature							Date

______________________________________________________________________________
Address

User (place an "X" in the correct blank):   I am 18 or older _____	I am under 18 _____

If I am signing this Agreement when I am under 18, I understand that I must continue to abide by 
this Agreement after I am 18.


PARENT'S PERMISSION FORM
FOR
DISTANCE LEARNING ACTIVITY
(required if student under 18)


	I am the parent/guardian of the following student who wishes to participate in a 
distance learning activity of the _______________ School District:

______________________________
(name of student)

	Due to the special nature of distance learning activities, I understand that it is 
necessary for my son/daughter/ward to be photographed, videotaped, or recorded 
as part of the remote classroom or other learning activity.

	I therefore give my permission for the above student to be photographed, 
videotaped, or recorded for purposes of distance learning activities, and for his/her 
voice and image to be transmitted and viewed by instructors, students, and other 
persons at remote locations who are involved in the distance learning activity.


____________________________________________	______________________________
Parent or Guardian name(s)   (PRINT CLEARLY)		 Home phone


____________________________________________	______________________________
Parent or Guardian signature(s)				Date

______________________________________________________________________________
Address







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