Parent Permission Form

Dad helping son zip up jacket.

I grant permission for my child to utilize The Screen Reader Curriculum and other courses produced by EYET LLC. I confirm that my child is 13 years of age or older, and I provide my express consent for them to create an online profile for educational purposes.

I understand and acknowledge that during the creation of the online profile, EYET LLC will collect:

    1. a username, which does not need to be my child’s given birth name, and
    2. an email address sponsored by the school or agency providing the training.

EYET LLC will not collect any other personally identifiable information on my child without my explicit consent.

I acknowledge that EYET LLC will collect and store the following information solely for educational purposes:

    1. Quiz/Test scores
    2. Completed Activities
    3. Account Activity Timestamps

I acknowledge that EYET LLC may use additional information collected through my child’s internet browser through the use of “cookies” as outlined in our Privacy Policy.

I acknowledge that unless otherwise specified in this form or in our Privacy Policy, information will not be shared with any third parties unless required by law or with my explicit consent.

Furthermore, I acknowledge that I have the right to request and receive any information that EYET LLC has collected on my child at any time. I can make such requests by contacting EYET LLC at info@eyetvision.org. EYET LLC will promptly provide me with the collected information upon my request. Verification of your identity may be required prior to fulfilling your request. 

By signing this form, I consent to my child’s participation in The Screen Reader Curriculum and other courses produced by EYET LLC, and I acknowledge that EYET LLC will collect and store the specified information as described above.

Parent Permission Form

Parent/Guardian Information

Parent's Full Name
Parent's Full Name
First
Last

Child Information

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