Parental Consent: For Girls under 13 Years Old to Participate or Communicate in
DoubleSunrise.com's Surveys, Forum and Feedback
Parental/Guardian Consent Form
Your daughter has requested permission to participate in GirlTalk (or to communicate to
DoubleSunrise.com), our forum for girls to comment, offer feedback, and complete
surveys regarding girls' health. The purpose of offering, for example GirlTalk,
is in line with our motto, "Keeping Connected" in that it allows her to communicate
to us and develops a two-way conversation. Our aim is to choose common situations
and issues for girls to express their views. A secondary gain is that we will
read the responses internally and the responses may give us informal validation
(or invalidation) of what we hear clinically from girls.
In regulation with COPPA
(Children's Online Privacy and Protection Act), all children under the age of 13 must
have parental consent before offering any personal information over the Internet.
Because participation in GirlTalk requires an e-mail address, it is considered
personal information and parental consent is necessary. An e-mail address is
the only required personal information to participate in GirlTalk. Any other
information offered (i.e., name, address, age) is not required nor is it recommended
that such information be provided, but is solely at the discretion of your daughter.
Please be aware that DoubleSunrise will only use personal information for internal
purposes. Any information we gather will not be sold or distributed to third parties.
It is our intent to provide a safe and helpful haven for your child to gather
information, share stories, and answer surveys. We intentionally request as
little information as possible in an attempt to protect her privacy. If you
have any questions regarding this form, you may refer to the Notice for Parents.
|I hereby consent/do not consent to the participation
of my daughter,_____________________, in GirlTalk.
Mail this completed form (or requests for further information) to:
PO Box 226,
Beverly, MA 01915
Notice to Parents
Welcome to DoubleSunrise. Our site is as much for you, the parent, as it is for your
daughter(s). Our goal is to provide accurate, up-to-date, and relevant health care
information is a manner that is safe and respectful. Some of the topics covered
include nutrition, relationships, bodily changes at puberty, warning signs for those
at risk, and many, many more.
Naturally, your daughter's protection is a high priority. We are also committed to
her protection and adhere to the Federal Trade Commission's Children's Online Privacy
and Protection Act (COPPA). Under this act, all children under the age of 13 are
required to obtain parental or guardian consent before issuing any private information
over the internet that could possibly be obtained by those with less desirable motives.
Your daughter is free to browse our site without any personal information required.
However, should she wish to participate in GirlTalk or communicate with DoubleSunrise.com
in the form of submission of any stories, comments or survey answers, this would result
in personal information being transmitted over the Internet. The only information
required is an e-mail address; other personal information (i.e., name, address, age)
is not requested and can only be obtained if your daughter chooses to initiate it.
As always, we encourage you to discuss online safety issues with her and keep personal
The purpose of offering, for example GirlTalk, is in line with our motto,
"Keeping Connected" in that it allows her to communicate to us and develops a
two-way conversation. Our aim is to choose common situations and issues for girls
to express their views. A secondary gain is that we will read the responses internally
and the responses may give us informal validation (or invalidation) of what we hear
clinically from girls.
Please take a few moments and browse through our site. Our theme, as you will see,
is "Keeping Connected…in order to grow". As you are a primary person that your daughter
keeps connected with, we welcome your feedback.