Dear Parent or Guardian, Your son or daughter has signed up to enter the Google Science Fair, a global science

competition produced by Google in partnership with CERN, the LEGO Group, National Geographic and Scientific American. Your child will be submitting a project online to compete with students from all over the world for incredible prizes, scholarships, and once-in-a-lifetime opportunities, such as a trip to the Galapagos Islands. For your child to enter this competition, we require your permission. Unfortunately, students who do not obtain consent may not participate. Please read through the terms below, and if they seem acceptable to you, submit your consent. For more details about the Google Science Fair, please visit: googlesciencefair.com We wish your child the best of luck!

Thanks from the Science Fair Team

This parental consent is between Google Inc. and you, as parent or legal guardian of a child who would like to enter the Google Science Fair. The Google Science Fair aims to be the largest global online science fair for students 13-18 years of age. Students will submit their science projects as a Google Site in English to compete for internships, scholarships, and other great prizes, including a trip to the Galapagos Islands. This Science Fair is open only to individual students who are 13-18 years of age. Your child must be 13 years old on, or before, 30 January 2013, and he or she must be 18 years old, or younger, on 30 April 2013. If your child lives in Israel, Spain or South Korea, they must be 14 years old on, or before 30 January 2013 and 18 years old on or before 30 April 2013. If your child lives in the Netherlands, they need to be 16 years old on or before 30 January 2013 and 18 years old on or before 30 April 2013. By submitting this parental consent, you agree to the following terms and conditions: 1. I have read and understood the Science Fair Rules for the Google Science Fair. As parent and legal guardian of my child, I permit him/her to participate in the Science Fair described in the Science Fair Rules. Furthermore, my child and I agree to be bound by the Science Fair Rules and the terms of this parental consent. 2. I, as parent and legal guardian of my child, affirm that my child is between the ages of 1318 years old. If he/she is 13 or 18 years old, I affirm that he/she turned 13 years old on or before 30 January 2013, or that he/she was 18 years old on or before 30 April 2013. If my child lives in Israel, Spain or South Korea, I affirm that he/she turned 14 years old on, or before 30 January 2013 or that he/she was 18 years old on, or before 30 April 2013. If my child lives in the Netherlands, I affirm that he/she turned 16 years old on or before 30 January 2013 or that he/she was 18 years old on or before 30 April 2013. 3. I understand that participation in a Science Fair involves a certain degree of risk, which could result in injury or other unintended consequences. My child's participation in the Google Science Fair is voluntary, and as such, I agree to be solely responsible for my child's safety while he/she is working on his/her science project.

4. I am aware of the risks involved, and take full responsibility, and waive any claims of personal injury or damage to personal property associated with my child's participation in the Google Science Fair. 5. I understand and agree that participation in this Science Fair means that my child may have to use Google products including, but not limited to, the following: Google Sites, Google Docs, Google Calendar, YouTube, Google Maps, Picasa. To the extent that my child uses these products, I agree, on my child's behalf, to be bound by their terms of service, which can be found at the following link: http://www.google.com/accounts/TOS. 6. If my child is selected as a winner during the initial round of judging, I understand that my child, accompanied by myself or another parent or legal guardian, will have to travel to Mountain View, California, on or about 23 September 2013. 7. I also agree that if my child is selected, Google has the right to use his or her first name and likeness in any promotion or marketing related to the Science Fair, without further compensation to myself. 8. Privacy Disclaimer: Any personal information collected during the course of the Science Fair by Google will only be used for administering this competition, or as otherwise set out in the Science Fair Rules.

I understand the conditions as listed above. I give my consent that the participant mentioned in the form below is eligible to participate in the Google Science Fair, and has my permission to engage in, and submit, a project that complies with the Science Fair Rules. Privacy Disclaimer: Any personal information collected during the course of the Science Fair by Google will only be used for administering this competition, or as otherwise set out in the Science Fair Rules. I permit the processing and publication of my and my child's data outlined in the Science Fair Rules. Students name *

English spelling of name *

Students email address * The email address entered by participant in the registration form

Parent or Guardian's name *

Yes, I approve my child's registration * Signature Date