Parental Consent Form

 

You may verify your consent of your child’s registration and use of the Site in accordance our Privacy Policy http://www.herinteractive.com/corp/privacy/index.shtml as follows:

I represent and warrant that the information provided below is true and accurate and is provided for the purpose of consenting to my child’s registration with the Site. (Please print legibly.)

Parent’s legal name: ______________________________________


Parent’s Email address: ___________________________________


Child’s screen name: ______________________________________

[this must match the screen name provided by the child at registration, and the email address must match the email address provided by the child at registration]

Parent’s Signature: ________________________________________

Submit this Form:

NOTE: We are unable to process requests by email unless you attached a digital signature or other digital certificate that uses public key technology to consent via Email.  If you do not have a digital signatures that uses public key technology or do not know what that is, please respond by facsimile or U.S. mail.

Please allow a reasonable time for processing of your consent.

Her Interactive complies with the Children’s Online Privacy Protection Act (COPPA). For more information on COPPA see:

Information for adults:
http://www.ftc.gov/bcp/conline/edcams/kidzprivacy/adults.htm

Information for kids:
http://www.ftc.gov/bcp/conline/edcams/kidzprivacy/kidz.htm

MESSAGE TO PARENTS

If you are a parent or guardian of a child under age 13, please discuss this Privacy Policy with your child, and general Internet use and safety issues with Your child. It is a good practice for your child never to provide their real name, address or telephone number without Your prior permission when using the Internet .

Consent

Children under age 13 may not participate in any activities or services offered on the Site which require registration, including the Message Board, without the prior written consent of a parent or legal guardian. Once Her Interactive has obtained consent from the parent or guardian of a minor, we will only ask the child to provide information that is reasonably necessary for participation in the Site’s activities and services.

Any time a child under age 13 registers with the Message Board, or provides Personal Information via the Web site, Her Interactive will send their parent or legal guardian an email containing a Consent Form. You may consent to your child providing Personal Information and/or participating in certain activities and services offered on the Site, by completing and signing the Consent Form, and either faxing the completed Consent Form to Her Interactive at 425-460-8788 or mailing the completed form to Her Interactive, Inc., 1150-114th Ave. S.E., Bellevue, WA 98004. No child under age 13 may submit or post Personal Information on or to the Site prior to Her Interactive’s receipt of a Consent Form which provides verifiable consent of a parent or legal guardian.

Access

The parent or legal guardian who has consented to a child registering with the Site and/or providing Personal Information to the Site may later (a) view the child’s Personal Information and correct or remove the information, in whole or in part; (b) instruct Her Interactive to discontinue all use of the child’s Personal Information and/or not to communicate further with the child; or (c) revoke or modify the consent, by contacting Her Interactive at removeme@herinteractive.com and including the child’s name and email address and the parent or guardian’s name and email address, plus any applicable access code provided by Her Interactive.

Children Over Age 12

Children over age 12 may register and participate in activities and services on the Site without the permission of a parent or legal guardian. Her Interactive will use reasonable efforts to respond to requests by parents of children over age 12 regarding their child’s use of the Site.