Internet Safety Curriculum - Student Assurance

Internet Safety Curriculum - Student Assurance

This Student Sign-Off form will ensure that all students in the Christina School District have been provided with grade-level appropriate Internet Safety Curriculum. It will cover the following: Appropriate Online Behaviors, Social Networking, and Cyberbullying
Student Name*

First NameLast Name
Student ID#*
School*
Date*

MonthDayYear
Date
By signing this form, I acknowledge that I received grade-level appropriate Internet Safety Curriculum from the Christina School District during the 2025-26 School Year.
Student Signature*

Clear
Should be Empty: