My Teen
Internet Safety Agreement

(Print & Sign Me)

I recognize that my parents are not only responsible for what happens to me, but are concerned about my well-being and safety.

I UNDERSTAND that it is not my fault if I get a message that is mean, offensive or makes me feel uncomfortable. If I do, I will tell my parents right away so that they can contact the online service.

I UNDERSTAND that anyone who attempts to convince me that they are more my friend that my family and that I should keep the online relationship a secret is only trying to hurt me and take advantage of me.

I AGREE to the following conditions placed on my use of the internet for the purpose of keeping me from being exploited or hurt.

I AGREE that I will not give out personal information such as my address, telephone number, parents' work address/telephone number, or the name and location of my school without my parents' permission.

I AGREE that I will tell my parents right away if I come across any information that makes me feel uncomfortable.

I AGREE that I will never get together with someone I "meet" online without first checking with my parents. If my parents agree to the meeting, I will be sure that it is in a public place and bring my mother or father along.

I AGREE that I will never send anyone my picture or anything else without first checking with my parents.

I AGREE that I will not respond to any messages that are mean or in any way makes me feel uncomfortable.

I AGREE to talk with my parents so that we can set up rules for going online, and
I will follow those rules at all times..

I AGREE that my parents and I will decide on the time of day that I can be online, the length of time I can be online, and appropriate areas for me to visit.

I AGREE not to access other areas or break these rules without their permission.



Signed (Parent)______________________________________Date_______________________________


Signed (Teen)_______________________________________Date_______________________________