WE ARE UNDER A LEGAL OBLIGATION TO OBTAIN YOUR CONSENT TO YOUR CHILD ACCESSING OUR SITE. THE CHILDREN'S ONLINE PRIVACY PROTECTION ACT (COPPA) WAS ENACTED TO PROTECT THE HEALTH, SAFETY, AND PRIVACY OF CHILDREN UNDER THE AGE OF 13. IN ACCORDANCE WITH THE PROVISIONS OF THAT ACT AND OTHER LEGAL REGULATIONS, THEREFORE, WE WISH TO ADVISE YOU THAT IF YOUR CHILD PROCEEDS TO PARTICIPATE IN OUR SITE ACTIVITIES, HE/SHE AT SOME POINT WILL BE LIKELY TO BE PARTICIPATING IN A VARIETY OF ELECTRONIC ONLINE COMMUNICATIONS WITH TELECARE LLC (I.E., STORY TIME, INCENTIVES, SOOKIE SAYS), WHEN SUCH ACTIVITIES OR SERVICES ARE OFFERED.

Therefore, we first ask that you review the Site generally, and that you specifically review the Privacy Policy Statement, as well as our User Agreement so that you are well-versed in our policies and practices. Please note that there is a section that allows for contacting us with any questions that you may have in respect to any of the site features.

Name of Child Applying to Access Site: 

Online User Name for Child:         

Child's Date of Birth:    

Name for Parent/Adult Legal Guardian:

Address for Parent/Adult Legal Guardian:

Phone for Parent/Adult Legal Guardian:

Date of Birth for Signing Parent/Adult Legal Guardian:       

Relationship to Child:          

STATEMENT OF CONSENT:

I,   do hereby state that I am the Parent or Adult Legal Guardian of   and that I have carefully read and reviewed the Privacy Policy Statement and Site User Agreements of Dr Brown's website and give consent allowing my child to access and participate in email, online events and communications(ie Incentives) as may presently exist or later be developed as part of the operation and activities of the Web site.

SIGNATURE: _____________________________________________       
DATE:  26 Nov 2020

Legal Requests for Information . It is our Policy to respond to valid government and regulatory requests for information, court orders, or subpoenas issued by third parties.

False representation as a parent or guardian for purpose of claiming a prize is "Fraud" and a legal offense, punishable by law and will be prosecuted.

This Notice is not an Offer or a Contract. This notice of Privacy Policy is for your information only - it is not an agreement or an offer and does not establish contract or other rights for you, the User. In particular, you have not created or entered into a contract by reading this notice and then submitting information. If you are a visitor, your use of the Dr. Browns Site constitutes your consent to the collection and use of your information for communication with Telecare LLC. Your rights with respect to these services are governed by the Site User Agreement(s) that you and/or your parent or legal guardian acknowledge you have read, understood, and accepted.

Telecare, LLC. Employees and Privacy Policies/Practices. Telecare, LLC. trains all employees about the importance of privacy. It is Telecare, LLC's Policy to give access to your information only to those employees who require it to carry out the responsibilities of their jobs.

More Information or to submit this form, contact us at:

Sookie Cybo,
PO Box 3337
Mercervill NJ, 08619
Fax: 1 -800-479-2209