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ParentalConsentForm
Pleasedooneofthefollowingby17May2016:
A.Scanorphotographandemailthiscompletedformto:gsfparentalconsent@gmail.com
B.Faxitto+44(0)2074014001
C.Mailthecompletedformto:
GoogleScienceFair2015
EdComsCapitalTower91
WaterlooRoadLondonSE18RT
DearParentorGuardian,
YoursonordaughterhassigneduptoentertheGoogleScienceFair,aglobalscience
competitionmadepossiblebyGoogleinpartnershipwithVirginGalactic,LEGOEducation,
NationalGeographicandScientificAmerican.
Yourchildwillbesubmittingaprojectonlinetocompetewithstudentsfromallovertheworldfor
incredibleprizes,scholarships,andonce
in
a
lifetimeopportunities,suchasatriptothe
GalapagosIslands.Foryourchildtoenterthiscompetition,werequireyourpermission.
Unfortunately,studentswhodonotobtainconsentmaynotparticipate.Pleasereadthroughthe
termsbelow,andiftheyseemacceptabletoyou,submityourconsent.Formoredetailsabout
theGoogleScienceFair,pleasevisitwww.googlesciencefair.com.
ThisparentalconsentisbetweenGoogleInc.andyou,asparentorlegalguardianofachild
whowouldliketoentertheGoogleScienceFair.TheGoogleScienceFairisaninternational
scienceandengineeringcompetitionforstudents,ages1318.Studentswillsubmittheir
scienceorengineeringprojectsonlinetocompeteforinternships,scholarships,andothergreat
prizes,includingatriptotheGalapagosIslands.
Toparticipate,yourchildmustbe13yearsoldon,orbefore,21February2016,andheorshe
mustbe18yearsold,oryounger,asof21February2016.IfyourchildlivesinIsrael,Spainor
SouthKorea,heorshemustbe14yearsoldon,orbefore21February2016,andheorshe
mustbe18yearsold,oryounger,asof21February2016.IfyourchildlivesintheNetherlands,
heorshemustbe16yearsoldonorbefore21February2016,andheorshemustbe18years
old,oryounger,asof21February2016.
Bysubmittingthisparentalconsent,youagreetothefollowingtermsandconditions:
IhavereadandunderstoodtherulesfortheGoogleScienceFair.Asparentandlegalguardian
ofmychild,Ipermithim/hertoparticipateintheScienceFairdescribedintheScienceFair
Rules,availableatwww.googlesciencefair.com.
Furthermore,mychildandIagreetobeboundbytheScienceFairRulesandthetermsofthis
parentalconsent.I,asparentandlegalguardianofmychild,affirmthatmychildisbetweenthe
agesof13
18yearsold.Ifhe/sheis13or18yearsold,Iaffirmthathe/sheturned13yearsold
onorbefore21February2016,orthathe/shewas18yearsoldasof21February2016.Ifmy
childlivesinIsrael,SpainorSouthKorea,Iaffirmthathe/sheturned14yearsoldon,orbefore
21February2016orthathe/shewas18yearsoldasof21February2016.
IfmychildlivesintheNetherlands,Iaffirmthathe/sheturned16yearsoldonorbefore21
February2016orthathe/shewas18yearsoldasof21February2016.Iunderstandthat
participationinaScienceFairinvolvesacertaindegreeofrisk,whichcouldresultininjuryor
otherunintendedconsequences.
Mychild'sparticipationintheGoogleScienceFairisvoluntary,andassuch,Iagreetobesolely
responsibleformychild'ssafetywhilehe/sheisworkingonhis/herscienceproject.Iamaware
oftherisksinvolved,andtakefullresponsibility,andwaiveanyclaimsofpersonalinjuryor
damagetopersonalpropertyassociatedwithmychild'sparticipationintheGoogleScienceFair.
IunderstandandagreethatparticipationinthisScienceFairmeansthatmychildmayhaveto
useGoogleproductsincluding,butnotlimitedto,thefollowing:GoogleSites,GoogleDocs,
GoogleCalendar,YouTube,GoogleMaps,Photos.
Totheextentthatmychildusestheseproducts,Iagree,onmychild'sbehalf,tobeboundby
theirtermsofservice,whichcanbefoundatthefollowinglink:
http://www.google.com/accounts/TOS.
Ifmychildisselectedasawinnerduringtheinitialroundofjudging,Iunderstandthatmychild,
accompaniedbymyselforanotherparentorlegalguardian,willhavetotraveltoMountain
View,California,onorabout27September2016.Ialsoagreethatifmychildisselected,
Googlehastherighttousehisorhernameandlikenessinanypromotionormarketingrelated
totheScienceFair,withoutfurthercompensationtomyself.
PrivacyDisclaimer:AnypersonalinformationcollectedduringthecourseoftheScienceFairby
Googlewillonlybeusedforadministeringthiscompetition,orasotherwisesetoutinthe
ScienceFairRules.Iunderstandtheconditionsaslistedabove.Igivemyconsentthatthe
participantmentionedintheformbelowiseligibletoparticipateintheGoogleScienceFair,and
hasmypermissiontoengagein,andsubmit,aprojectthatcomplieswiththeScienceFair
Rules.PrivacyDisclaimer:AnypersonalinformationcollectedduringthecourseoftheScience
FairbyGooglewillonlybeusedforadministeringthiscompetition,orasotherwisesetoutinthe
ScienceFairRules.Ipermittheprocessingandpublicationofmyandmychild'sdataoutlinedin
theScienceFairRules.
Pleaseusecapitallettersbelow.
Studentsname*
Englishspellingofname*
Studentsemailaddress*
PleaseusetheemailaddressthatwasusedwhenregisteringfortheGoogleScienceFair
ParentorGuardian'sname*
ParentorGuardianssignature*________________________________________________
Date________/_________/_________