Fill and Sign the Gravette Middle School Excellence is a Daily Pursuit Form

-1- 10.07 Form: Notice to Parents/Guardian Dear Parent or Guardian: Your child has visited our Web site at www.___.com. As per our posted privacy policy (our "Policy"), [insert link] we may collect certain personally identifiable information from children in order to allow participation in our contests or sweepstakes, receipt of our monthly newsletter, or participation in our online games. Pursuant to the Children's Online Privacy and Protection Act of 1998 we are required to obtain parental consent prior to collecting personally identifiable information from your child. 1. Your child would like: * A copy of our newsletter, which we publish monthly * To enter one of our sweepstakes or contests * Information on our future products and services * To participate in one of our online games You may grant consent to any or all of the above by simply replying to this e-mail. Following our receipt of your reply, we will send you a follow-up notice confirming the information in your reply. 2. Your child has requested access to: * Chat rooms * Bulletin boards * Message boards * Other public areas -2- You may consent to any or all of the above by: * Printing the attached form, filling it out, signing it and returning it to ________________________. * Providing a credit card number to ________________________ * Calling this toll-free number [#] * Using a digital signature * Replying with a previously issued [PIN or password] 3. We would like to share your child's personal information with: Our affiliates Unaffiliated entities You may consent to any or all of the above through any of the methods detailed under #2 (above). Although we are not required by law to obtain your consent, we will notify you in the event we collect your child's information for the sole purpose of responding on a one- time only basis to the child (in which case we will then delete the information after such use), or to protect his or her safety.If you do not respond to this letter we will assume that you have not consented to the above uses, and your child will not be able to participate in the activities described above on our Site, and we will not share your child's information. Should your child re-visit our Site, seeking access to public forum areas or wanting to participate in our services, we will provide you with a new opportunity to consent. In addition, if we make any material changes to our Policy we will contact you for consent to such changes.We will not condition participation in any activity on the Site on -3- the provision of more information than is reasonably necessary Your name _______________ Your child's name _______________ Relation to child _______________ Address _______________ E-mail address _______________ Signature (if mailing or faxing this form) _______________ If you have any questions please contact us at help@___.com.