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Castro Valley USD |  E  4040  Personnel

Employee Use Of Technology   

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Authorization to Text Message

Purpose

The Castro Valley Unified School District, in accordance with Board Policy 4040 requires that staff obtain parent permission prior to engaging in text messaging with students. It is the District's intent that, through this form, parents are made actively aware of who may be sending their student text messages and what that nature of those messages should be.

Staff:_____________________________Class/Program:___________________________

Text messaging will be used for: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Duration

From:________________________________To:__________________________________

Authorization

I, _____________________________, the parent/guardian of ______________________ authorize the above named staff member to communicate with my child through text messaging for the reason(s) stated above.

Parent/Guardian Date

Signature

Student's Full Name Student Cellular

Phone Number

Exhibit CASTRO VALLEY UNIFIED SCHOOL DISTRICT

version: September 12, 2013 Castro Valley, California