PARENTAL CONSENT FORM

Dear Parents,

This school year, students will be using Edpuzzle as a complementary education tool
that will allow them to watch video lessons in class or at home and complete
assignments related to these lessons. The use of this web-based software and
application is intended to further engage students and also to better identify each of
their learning processes.

Edpuzzle can be used through two types of accounts: teacher and student accounts.
Student accounts and information related to them is stored completely privately and
is only accessible to us as your children’s teachers. With their Edpuzzle accounts,
students will watch video lessons, respond to questions to evaluate their understanding
of the subject and get feedback from their teacher regarding their performance.

The Children's Online Privacy Protection Act (COPPA) protects the online privacy of
children under the age of 13 and requires web-based service providers as Edpuzzle to
obtain parental consent prior to the collection, use, and disclosure of that child's
personal information. Due to COPPA’s requirements and just like any other web- or
cloud-based educational tool, Edpuzzle requires that schools obtain parental consent
to set up Edpuzzle accounts on students’ behalf and allow students under the age of
13 to access and use those accounts.

If your child is under 13, we need your consent to create your child’s student account
on their behalf. Please sign below and return the slip as soon as possible!

To learn more about Edpuzzle, please visit their website at www.edpuzzle.com and
consult their Privacy Policy and Terms of Use at www.edpuzzle.com/privacy and
www.edpuzzle.com/terms, respectively.

Thank you!

Yes, I give permission for the school to create a student Edpuzzle account for my
child and for Edpuzzle to collect, use and disclose the information about my child
as explained in Edpuzzle’s Privacy Policy.

Student name: ___________________________________

Parent name: ___________________________________

Parent cell/email: ___________________________________

Parent signature: ___________________________________ Date: ______________