St. Agnes Academy Isabel Cameron Library Amazon Kindle Permissions And Acceptable Use Form printable pdf download

St. Agnes Academy

Isabel Cameron Library

Amazon Kindle Permissions and Acceptable Use Form

Introduction

The Amazon Kindle is a convenient, portable reading device. It is the size of a paperback and capable of

holding up to 1,500 books. A student can highlight sections of text, make notes anywhere in the text, or

even make a clipping of the entire page if desired – it all shows up under ‘clippings’, for easy retrieval

later. In addition, unfamiliar words can be instantly defined using the onboard dictionary. The chance to

use this device is a privilege that we are able to provide to students in this class provided that the

students use extra caution and responsibility. Each Kindle is valued at $139.00. For this reason we require

a parental signature before a Kindle can be checked out to a student.

(Initial)_____________ Parent Responsibilities and Permission

--I give permission for my child to check out a Kindle Reader.

--I understand it is to be used as a tool for reading and learning, and that its use must comply with the St.

Agnes Academy Acceptable Use Policy.

--I will ensure the safe and timely return of the Kindle within the loan period.

--I also understand I am financially responsible for any willful, malicious, or accidental damage to (or loss

of) the Kindle as well as any charges resulting from content downloaded to the Kindle without written

permission from the librarians (Mr. Sutter or Ms. Jackson).

--I understand that my child’s account will be billed for any damages or loss and a hold will be placed on

her records until the charges are cleared. Also, my child may lose future loan privileges of the device if the

Kindle is either damaged or not returned in a timely manner.

GUARDIAN NAME (printed) __________________________________________________________

GUARDIAN SIGNATURE__________________________________________________DATE_____

GUARDIAN CONTACT INFO (phone and email):__________________________________________________

Student Responsibilities and Permission

I agree to take care of the SAA Library Kindle while it is in my possession. I will not throw, drop, or

damage the Kindle in any way. I will not carry it in my book bag. I will not give the Kindle to another

student for his/her use. I will use the Kindle in the appropriate manner. I will NOT download any content

to the Kindle without written permission from the librarians. I agree to return the Kindle in good

condition at the conclusion of the loan period.

STUDENT NAME (printed) _________________________________________________________

STUDENT SIGNATURE __________________________________________________DATE______

Media Center Staff Only

Date Permission Slip Received:______________________________________________

Media Center Specialist Signature: __________________________________________

This form adapted with permission from an original creation by school librarian Kathy Parker at

St. Agnes Academy Isabel Cameron Library Amazon Kindle Permissions And Acceptable Use Form