The Katallasso Group

Parent/Guardian Consent for Electronic Communication with a Minor

This form gives permission for The Katallasso Group’s staff, mediators, facilitators, coaches, and authorized team members to communicate electronically one-on-one with the minor named below for service-related purposes.

What this includes

Electronic communication may include:

• text messages

• voice memos

• email

• phone calls

• other approved electronic platforms used by The Katallasso Group

  
  

These communications may be used for scheduling, check-ins, follow-up support, restorative work, coaching-related matters, and other service-related communication.

Important information

By signing below, I understand and agree that:

1. I give permission for The Katallasso Group to electronically communicate one-on-one with my child/minor in connection with services.

2. Electronic communications will be kept professional, service-related, and appropriate.

3. The Katallasso Group may archive, save, and retain electronic communications with my child/minor for documentation, supervision, continuity of care, safety review, and record-keeping purposes.

4. Electronic communication is not monitored at all times and should not be used for emergencies, urgent safety concerns, or crisis situations. In an emergency, I understand I should call 911 or seek immediate emergency support.

5. The Katallasso Group may limit or discontinue electronic communication if it is no longer appropriate, safe, or helpful.

6. I may withdraw this consent in writing at any time, but communications already created may still be retained as part of the service record.

7. I confirm that I am the legal parent/guardian, or otherwise authorized to provide this consent.

Consent

I authorize The Katallasso Group’s staff, mediators, facilitators, coaches, and authorized team members to electronically communicate one-on-one with my child/minor for service-related purposes and to archive/save those communications for record-keeping.