PASS-THROUGH COPPA PARENT WAIVER 

Dear Parents, Our school uses certain web-based tools and other applications that assist your child in learning. In order for your child under age 13 to use those tools and applications, federal law requires that you provide your consent. A list of the applications and web-based services our school uses, or may choose to use, has been enclosed with this parental consent form. In order for your child to use these programs and services, your child must provide certain personally identifying information. Generally, this information is limited to first and last name, a user name, and email address. 

Privacy policies for the programs can be found on the websites of the developers of these applications. If you have questions about a particular policy or would like further information about these privacy policies, please review the applicable website or contact your child’s teacher. 

Under the federal Children’s Online Privacy Protection Act, the operators of these educational applications and services must notify you, as your child’s parent, and obtain your consent before collecting limited personal information from children under the age of 13. 

The law permits schools to consent to the collection of personal information on behalf of all of its students. This form, when completed below and on file with us, will authorize our school to provide consent for your child to provide personal identifying information, consisting of first and last name, a username, and an email address, to the operators of applications identified on the enclosed list. 

If you consent to your child providing personal identifying information to use the applications and web services, check the OPT-IN box below. By checking the OPT-IN box, you expressly authorize  St. Rita Catholic School to provide your child’s first name, last name, username, and email address to the operators of one or more of the applications identified on the enclosed list. You also agree to release and indemnify our school from and against any claims arising out of our providing such information to the operators of the applications and services listed on the enclosed list. If you do not want our school to provide this information, select the OPT-OUT box below. Note that checking the OPT-OUT box will prevent your child from participating in certain educational activities, including the use of the applications on the enclosed list. 

While our school will generally make reasonable attempts to provide alternative assignments to your child, we reserve the right to determine that a student’s consistent inability to participate in the assigned curriculum may impair the student’s academic progress at our school and require that you and we explore other options. 

Student Name: 

Parent/Guardian Name (PRINT): 

Parent/Guardian Signature: 

OPT IN _______ OR OPT OUT _______