This form may be submitted only by a parent of the student participating in the program. After this form is submitted, an automated message will be sent to the parent’s email address to confirm our receipt of this form. In the automated message, the parent must click on a button to confirm the parent’s consent to our collecting and using personal information of the student as set forth in this form and our privacy policy, and finalize the registration process. We will then send one additional automated message to the parent confirming that the registration process is completed.
Any provision of this form and our privacy policy to the contrary notwithstanding, (1) the parent’s consent to our collecting and using such personal information can be revoked at any time by notifying us as set forth in Section XII of our privacy policy, (2) we will not require that the parent disclose more personal information of the child than reasonably necessary for the program, (3) the parent can review, or direct us to delete or stop collecting, any such personal information, (4) such personal information will not be disclosed to any third parties, except the student’s name will be shared with Playworks solely for purposes of its facilitating the program, and (5) the parent can exercise any of his or her other rights by notifying us as set forth in Section XII of our privacy policy. Our privacy policy can be found here.
The individual submitting this form (1) confirms that he or she is the parent of the student participating in the program, (2) consents to our collecting and using personal information of the student as set forth in this form and the privacy policy, and (3) confirms that he or she has read, and agrees to, the terms and conditions of the program here, and our privacy policy.