Youth Voices - Parents' Permission Form
Dear Parent/Legal Guardian:

With your permission, your child will have the option of participating in the communication portions of the Youth Voices ( website. With seventeen years of experience behind us, the teachers from around the U.S. who administer Youth Voices are committed to providing your child with a safe place to learn, explore, and have academic conversations.

Because of your child’s age, we are requesting your permission to allow your child to use the communications portions of Youth Voices, and further, we are inviting you to participate in this online experience, actively monitoring and supporting your child along with us.

Your permission is required for any web site to collect or use your child’s personal information. This includes the minimal information that we need to make our site work. Specifically, we are asking you to give us permission to use the following information: your child’s first name, the name of your child’s school, the town or city of the school, and the name of your child’s teacher. No other information or images will be used by the site.

The privacy of our members is very important to us. Please view our Terms of Service and Privacy Policy to learn about what measures we have undertaken to protect your child’s privacy. Because some of the site features will enable your child to publicly post personal information, we encourage you to monitor your child’s comments and posts on Youth Voices along with us. This is relatively easy to do by following your child’s activity stream: You will need to fill in your child's username below.

You may, for example, want to set rules for your child about whom he or she can talk to, what general discussion topics are allowed, and what personal information, if any, is okay to share. Please remind your child not to publicly post personal information such as last name, telephone number, or e-mail on any website. The dozens of teachers whose students also use Youth Voices will monitor messages and posts twenty-four hours a day, seven days a week, but your continued involvement is important.

Once you have reviewed our site and our Terms of Service and Privacy Policy, please fill out the following consent form and return it to your child’s teacher. We look forward to hearing from you and welcoming your child to Youth Voices.


Please return this form to your child’s teacher.

I, ________________________________________ (print parent’s name), the parent or legal guardian of ______________________________________ (print child’s name), have had the opportunity to review the Youth Voices Terms of Service and Privacy Policy at the link provided above. By completing the fields below, I authorize my child to fully participate in the Youth Voices site.

I understand that in consenting to my child’s registration at the site, I am enabling my child to participate in all communication aspects of the site, including posting and reading messages in blog posts, in group chat, and on live video chat.

I understand that my child’s information will be collected and processed in the United States and that the site uses cookies as described in the Youth Voices Terms of Service and Privacy Policy. I consent to these practices. I understand that I may withdraw my permission granted herein, with written notice as set forth in the Youth Voices Privacy Policy, at any time.

I also understand that it is important to provide accurate information in this consent form in case Youth Voices needs to contact me for any reason.


Parent’s signature ______________________________________________

Dated this __________ day of __________, 201______.

Parent’s email address ___________________________________________

Parent’s telephone number ________________________________________

First Name of Child or Youth *
Please print the child's first name here:
Your child’s username is _______________________. *
Please ask your child what his/her/their username is.
Parent's Name / Signature *
Please type your name here. Typing your name here is equal to your signature.
Parent's email address *
Please type your email address here. (We will not use it or share it except to contact you.)
Parent's telephone number *
Please type your phone number here. (We will not use it or share it except to contact you.)
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