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Ashburnham Westminster Regional School District

serving the communities of Ashburnham and Westminster Massachusetts

Informed Consent Khan Academy

Khan Academy Informed Consent and Release

Ashburnham Westminster Regional School District

I, the undersigned parent/legal guardian, hereby understand that Ashburnham Westminster Regional School District is utilizing the free online services of Khan Academy, an online application owned and operated by Khan Academy, Inc., P.O. Box 1630, Mountain View, CA 94042, an online educational platform providing personalized learning resources and instructional content. I also understand that as part of this activity my child will be providing his/her Name, Email Address, etc. in order to use this online application.

I understand that to the extent that either I or my child are provided with or create a password for the use of this site, that my child and I can help protect against unauthorized access to my child’s account and personal information by appropriately protecting and limiting access to this password and appropriately logging off of the account when finished. I hereby acknowledge and agree that the Ashburnham Westminster Regional School Committee and Ashburnham Westminster Regional School District do not own or control Khan Academy, and any of my child’s works (name, image, likeness, spoken words, student work, academic performance, and progress data, in any form, hereinafter collectively referred to as “Works”) that are posted on or through this website shall be managed and controlled by Khan Academy in accordance with its privacy policy and terms of service. I further acknowledge that my child and I have read Khan Academy’s Terms of Service and Privacy Policy, true copies of which are linked to this informed consent and release.

By entering into this informed consent and release and granting the permission as stated herein, I am expressly authorizing my child to participate, use, and submit Works for posting on Khan Academy. I also am expressly authorizing the Ashburnham Westminster Regional School District to use, in whole or in part, my child’s Works in connection with Khan Academy including without limitation, the posting of these Works on or through Khan Academy.

I further understand that neither the Ashburnham Westminster Regional School Committee and/or Ashburnham Westminster Regional School District and/or their respective officers, directors, agents and/or employees shall compensate either me or my child in connection with the posting of the Works on or through Khan Academy.

By entering into this informed consent and release and granting the permission as stated herein, I also am releasing the Ashburnham Westminster Regional School Committee and/or Ashburnham Westminster Regional School District and their respective officers, directors, agents and/or employees from and against any and all liability, loss, damage, costs, claims and/or causes of action arising out of or related to my child’s Works being posted on or through Khan Academy and/or for my child participating and using Khan Academy.