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In compliance with the Children’s Online Privacy Protection Act (COPPA) regulations,, any child under age 13 must have parental consent for the collection, use, or disclosure of that child’s personal information by a website.

LEAD’s web applications allow you and/or your child’s school to create an account for your child and enables you and/or the educators at your child’s school to track and understand emotional and mental health information collected during your child’s use of the web application. Children record emotions and other mental health indicators throughout the day. As part of this service, LEAD collects personal information from its users that may include name, email address, age, school of attendance and grade level, in addition to any of the content your child records during the use of the application. For information on LEAD’s use and collection of personal information, please review LEAD’s Privacy Policy at

In consideration of the opportunity accorded to me to use the LEAD web applications, I hereby state and agree that I consent to the collection, use, and disclosure of my child’s personal information as described here, and in the LEAD Privacy Policy, when an account has been established and/or used for and by my child on the web application.

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: __________________________________________