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Template — for facility use

Parental Consent Template

For facilities enrolling children under 13 in the TinyGuard care-management platform. Operationalizes the COPPA school/operator exception. Print the form below and have parents/guardians sign at enrollment, or save it as a PDF and attach to your existing enrollment paperwork. The facility keeps the executed forms; TinyGuard does not centrally store the signed copies.

Browser → Print → "Save as PDF" produces a clean form.
TinyGuard Care-Management Platform — Parental Consent
Version: 1.0 · Effective: May 23, 2026 · For facility enrollment use

I, [parent/guardian full legal name], am the parent or legal guardian of [child full legal name], born [date of birth]. I authorize [facility name] to use the TinyGuard care-management platform to:

  • Maintain my child's enrollment record, health and care information, daily activities, attendance, and incident reports.
  • Communicate with me about my child's care (daily reports, pickup notifications, photos, incident notifications) through the family portal, email, and (optionally) SMS.
  • Display authorized camera feeds of common areas to me through the family portal, where the facility has enabled parent camera access.
  • Process payment for my child's tuition or care fees, if I have set up payment through TinyGuard.

I understand that:

  • My child's information is stored by TinyGuard LLC (Tigard, OR) on my facility's behalf under a Business Associate Agreement or Data Processing Agreement between the facility and TinyGuard.
  • TinyGuard's Privacy Policy describes how my child's information is collected, used, and protected.
  • I may request access to, correction of, or deletion of my child's information through the facility or through TinyGuard's privacy team at privacy@tinyguard.co.
  • I may revoke this consent at any time by notifying the facility.
⛔ No biometrics — by contractual covenant

This consent does not authorize collection of any biometric data (facial geometry, voice prints, fingerprints, iris scans, or similar identifiers). TinyGuard does not offer biometric features at all — this is a hard contractual covenant in TinyGuard's Master Service Agreement §3, reaffirmed per state. See the No-Biometrics Covenant for the full architectural commitment. If TinyGuard ever offered such a feature in the future, the facility would need to obtain my fresh, separate written consent before enrolling my child.

Child information

Parent / guardian information

Facility information

Signature

By signing below, I confirm that I have read this consent in full, that I am the parent or legal guardian of the child named above, and that I authorize the uses described.

Witnessed by (facility representative)

The facility keeps the executed consent forms; TinyGuard does not centrally store the signed copies. On request, TinyGuard can surface the existence of consent for any specific child whose data is in our system. Questions: privacy@tinyguard.co.