Below is a sample consent form that educators can modify and use.

Parental Consent Form for Use of AI Educational Tools

Purpose of the Consent Form:
We value your child’s privacy and adhere to the Children’s Online Privacy Protection Act (COPPA). As part of our program, we use AI educational tools to support learning and enhance the educational experience for your child. These tools are provided by InfoBytes Academy and may involve the collection of limited information to create an engaging and effective learning environment. This consent form requests your approval for the educator to use these tools responsibly while maintaining strict data security.

1. Information Collection and Use
These AI tools do not require identifying information about your child. They are designed to support educators in creating educational experiences and resources. By granting your consent, you authorize the educator to input minimal, anonymized data about your child, such as initials (e.g., ‘A.B.’ for ‘Alice Brown’) and blurred or cropped images that do not reveal your child’s identity.

We will not:

  • Collect or store your child’s personal identifiers, including real names, photos, or any specific personally identifiable information (PII).
  • Use data for any purpose outside of delivering educational content and resources.
  • Retain data beyond the immediate instructional use, ensuring prompt deletion post-session.

2. Parental Rights under COPPA
As a parent, you have the right to:

  • Review any information collected through our AI tools about your child.
  • Request the correction or deletion of any data about your child submitted to our platform.
  • Withdraw consent at any time, ensuring no further information about your child is used in the AI tools.

To exercise any of these rights, please contact [Your Company Name] at [Contact Email or Form Link].

3. Consent to Educator Use
Your signature below provides verifiable parental consent, allowing the educator to use AI tools for instructional purposes. This authorization enables the educator to enter anonymized or minimal information about your child for educational interactions. The educator is responsible for obtaining this consent and ensuring compliance with COPPA regulations.

Parental Acknowledgment and Consent

Child’s Name (initials only): _______________________________

Parent/Guardian Name: _______________________________

Parent/Guardian Signature: _______________________________

Date: _______________________________