Audible or Kindle Gift Credit Permission

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Dear Parent or Guardian:
Your child has requested an eBook OR audiobook of an assigned text. We will purchase the book for your child from Amazon (Audible.com) audiobook
Amazon (Audible.com) requires agreement to terms of service and posts data privacy declarations to which a parent or guardian must agree before we can send a link, credit, or e-gift of an eBook or audiobook. We need your permission to send a link to your child’s personal email address because the services state they are for age 18 and above.

MCPS filters student-level @mcpsmd.net accounts, therefore we cannot send credits to your child’s school email. We must have a student’s personal email address.

We require the information in the following questions and your affirmative parental consent in order to supply this book.

Email *

A Parent or Guardian's personal email address is the electronic signature. Confirm Parent or Guardian email address. *

Parent or Guardian Last Name *

Parent or Guardian First Name *

Parent or Guardian Personal email address *

Parent or Guardian Phone number *

Student ID # *

Child's Last Name *

Child's First Name *

Child's personal email address *

Your affirmative parental consent to send the book to my child *

Yes, you may send a credit from the Amazon (Audible.com) my child’s personal email address

No, you may not send a credit from the vendors listed above to my child’s personal email address

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Montgomery County Public Schools. Report Abuse

Forms