PASS USER AGREEMENT

I _____________________________________agree to use the Parental Access Support

(Users name)

System in an appropriate manner. In addition, I agree not share my student’s ID or PIN number with any person(s) other then immediate adult family members. I also agree to notify Midland High School if any abuse of the pass system is experienced. In addition, I also agree that I may have my pass privileges revoked at any time due to an abuse of the system.

Parent/Guardian Name Printed

Parent/Guardian Name Signed & Dated

Student Name Printed

Student Name Signed & Dated

Please complete this document and return to Midland High School. Upon receipt of this completed document Midland High School officials will issue an ID and PIN.