Program Tool
Program Tool

Sample Internet Safety Contract

Virtual Lab School School-Age Safe Environments Lesson 5 Apply Sample Internet Safety Contract
Program Tool
WWW.VIRTUALLABSCHOOL.ORG
ACTIVITY ID: 22446
Name
Certifier
Date
My Internet Safety Pledge

I   agree to the following:

  • I will turn off my computer monitor right away and tell my trusted adult if anything makes me feel scared, uncomfortable, or confused. 
  • I will tell my trusted adult if anyone online asks me my name, my address, my telephone number, the name of my child care program or school, or my picture. 
  • I will tell my trusted adult if anyone online asks me to meet in person. 
  • I will tell my trusted adult if I am experiencing cyber bullying or if I suspect a peer is being cyber bullied. 
  • I will only talk to people online that I know in real life.  
  • I will only use kind and respectful language on the Internet. 
  • I will only use or visit approved websites and programs. If I wish to try a new website or program, I will talk with an adult first about the site or program so that she or he can preview it and help decide.
  • Except for special assignments, I will use screen media for no more than   minutes per day.
Student's Name:
Student's Signature:
Date:
Guardian Name & Relationship:
Guardian Signature:
Date:
My Internet Safety Pledge

I ___________________________________ agree to the following:

  • I will turn off my computer monitor right away and tell my trusted adult if anything makes me feel scared, uncomfortable, or confused. 
  • I will tell my trusted adult if anyone online asks me my name, my address, my telephone number, the name of my child care program or school, or my picture. 
  • I will tell my trusted adult if anyone online asks me to meet in person. 
  • I will tell my trusted adult if I am experiencing cyber bullying or if I suspect a peer is being cyber bullied. 
  • I will only talk to people online that I know in real life.  
  • I will only use kind and respectful language on the Internet. 
  • I will only use or visit approved websites and programs. If I wish to try a new website or program, I will talk with an adult first about the site or program so that she or he can preview it and help decide.
  • Except for special assignments, I will use screen media for no more than _______ minutes per day.
Student's Name:
Student's Signature:
Date:
Guardian Name & Relationship:
Guardian Signature:
Date: