Data Deletion Request Form

Today's Date*

In the space below, please enter the email address we have on record for you.*

We need your email address in order to look up your record in our database. Additionally, we will keep your email address on our entry form in order to prove that your request was submitted to us, should we be audited.

Primary Account Holder's Name*

This is needed so that we can verify your identity.

What can we help you with?*

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Authorization*

By selecting "I consent" from the drop-down below, I give permission for the Institute of Reading Development to look up my data and either provide it to me via email, or delete it, depending on the selection I made in the previous field. Additionally, if I have requested that the Institute of Reading Development delete all of my family data from their databases, I understand that once this deletion has occurred, it cannot be undone and all record of my family's history with the Institute will be permanently deleted.

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