We are sending you this parental consent form to both inform you and to request permission for your child's photo/image and name to be used on our website and Facebook Page.
As you are aware, there are potential dangers associated with the posting of personally identifiable information on a web site since global access to the Internet does not allow us to control who may access such information. These dangers have always existed; however, we do want to celebrate your child and his/her work. The law requires that we ask for your permission to use information about your child. Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian.
Personally identifiable information includes names, photo or image, residential addresses, e-mail address, phone numbers. If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing by sending an email to Terri Brax, terri@teachercare.com , and rescission will take effect upon receipt by TeacherCare Inc.
Circle which of the following choices you agree to:
Child's Name: (please print) _________________________________
Print name of Parent/Guardian: (print) ______________________________________________
Signature of Parent/Guardian: (sign) _______________________________________________
Relation to Child: _________________________________________ Date: ______________
Please print this form and mail to:
TeacherCare; Woodfield Corporate Center
10 N. Martingale Road, Suite 400
Schaumburg, IL 60173-2411
OR
Fax this form to: (888) TEACH-91