You Tube Opt Out Form

Dear Parents:

YouTube Opt-Out for High School Students

We recognize that YouTube is a powerful resource for educational content. The site is home to over 10 million videos tagged as educational, many of them submitted by teachers.

We also recognize that there is a lot of content available through YouTube that is not educational in nature and that our students must be trained to be responsible contributors and consumers of this media.

We are proposing that we open YouTube, for high school students only, by having them authenticate themselves through logging in using their district credentials. Requiring authentication allows us to monitor and track each student’s use of this resource.

Before access to YouTube is made available to a student, the following criteria must be met:

  1. Successful completion of the YouTube Access Course in Schoology.

  2. No parental opt-out form has been received.

If you do NOT want your child to access YouTube, please fill out the form below and return it to your child’s school. The form can also be downloaded from the “For Parents” section of our website at

If we do not receive a signed copy of this form by September 28, 2016 and your child has successfully completed the YouTube Access Course, we will assume we have your permission to add your student to the group with YouTube access. If you decide at a later date to opt-out, please complete the form and return it to your child’s school. Access will be removed within 48 business hours.

Diane B. Sigmon Director of Technology

Do NOT allow my student to access YouTube. Limit 1 student per form.

Student’s Full Name: ___________________________________________________________________

Parent’s Name: ________________________________________________________________________ Parent’s Phone Numbers: _______________________________________________________________ School: ______________________________________________________________________________

I do NOT want my child to access YouTube. I will work with my child to be sure that he/she understands his/her responsibility to communicate with teacher(s) the need to use alternative means to access instructional content.


Signature Date The completed form must be returned to your child’s school.