Parental Consent Form

Why is this needed? The Children's Online Privacy Protection Act (COPPA) requires parental consent before collecting personal information from children under 13.

Child's Information

Child's Name

Date of Birth

Grade Level

Parent/Guardian Information

Your Name

Email Address

Phone Number

Relationship to Child

What We Collect and How We Use It

Information We Collect:

Your child's name and grade level
Learning conversations with our AI tutor
Progress and performance data
Time spent learning

How We Use It:

Provide personalized tutoring
Track learning progress
Generate progress reports
Improve our educational AI

We Share With:

Google Gemini AI (conversations only, no personal info)
Your child's school (if enrolled through school)

Consent Options

I consent to basic tutoring services (Required)
Your child can use the AI tutor for learningI consent to progress sharing with my child's teacher (Optional)
Teachers can view learning progress and chat summariesI consent to my child's anonymized data being used to improve the service (Optional)
No personal information will be included

Verification Method

Please select how you'd like to verify your identity as the parent/guardian:

Credit Card

$0.50 charge (refunded)

Sign & Upload Form

Print, sign, and upload

Video Call

Schedule verification call

Photo ID

Upload government ID

Your Rights as a Parent

Review all information we've collected about your child
Have your child's personal information deleted
Refuse further collection of information
Receive a copy of your child's data
Update or correct any information
Revoke this consent at any time

To exercise these rights, contact us at: privacy@askta.org

By checking this box, I confirm that I am the parent or legal guardian of the child named above, I have read and understood this consent form, and I consent to the collection and use of my child's information as described. I understand I can withdraw this consent at any time.

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Questions? Contact us at privacy@askta.org

This form complies with COPPA requirements for verifiable parental consent.