Data Request and Deletion

a trash can with multiple sheets of paper.
Request for Data or Data Deletion

Request for Data or Data Deletion

Fill out this form either to request (a) a copy of all data that we have collected regarding you or your child or (b) to delete such data from all of our databases.

Parent/Guardian Information

Parent/Guardian Name
Parent/Guardian Name
First
Last

Child Information

Child's Full Name
Child's Full Name
First
Last

Learning Portal Account Information

The following information pertains to the child’s eye.t Learning Portal Account, account accessed via https://portal.eyetvision.org