In compliance with the Children’s Online Privacy Protection Act (COPPA) regulations, www.coppa.org, any child under age 13 must have parental consent for the collection, use, or disclosure of that child’s personal information by a website.
By signing below, you consent to the collection and use of your child’s personal information by LEAD and the disclosure of your child’s personal information to third parties if necessary. LEAD will never sell your child’s personal information.
I am the parent or guardian of the minor/s named below. I have the legal right to consent to and do consent to the terms and conditions of this Release.
Student Name: _________________________________________________________
Signature of Parent/Guardian: _____________________________ Date: ___________
Printed Name of Parent/Guardian: __________________________________________