Parental consent withdrawal form template
- Art. 6 para. 6-7 FADP
- Art. 7 GDPR
- About 5 minutes
- Italiano · Deutsch · Français · English
In brief
The form by which a parent or legal representative withdraws the consent given for a child's data. Withdrawing must be as easy as consenting: that is why it is handed over together with the consent form.
- Who it is for
- Parents or legal representatives. It is handed over with the parental consent form.
- To decide first
- Nothing: the form uses your contact details and is filled in by the person withdrawing.
- Afterwards
- Hand it over together with the consent form. When you receive one, stop the processing and note the withdrawal.
What it contains
- 1Person withdrawing consent
- 2The minor
- 3Consent you wish to withdraw
- 4What happens after the withdrawal
- 5Declaration
- 6How to send the form
An excerpt
1. Person withdrawing consent
| First name and surname | __________ |
| Address | __________ |
| Email or telephone | __________ |
I am acting as:
☐ parent holding parental responsibility
☐ guardian or other legal representative
We use these details only to identify you and to confirm the withdrawal to you. If we have reasonable doubts about your identity or about your authority to represent the minor, we may ask you for a document proving it.
2. The minor
| First name and surname | __________ |
| Date of birth | __________ |
3. Consent you wish to withdraw
Please state which processing the withdrawal relates to (for example enrolment in an activity, publication of photographs, use of an online service):
☐ I withdraw all the consents I have given to __________ for the processing of the minor's data.
The full text is generated on the platform, with your organisation's details already in place.
Related templates
A template is general information, not advice on your case: it must be adapted to your organisation. For a question on your case there is Advisorn's consulting. By Advisorn, updated on 20 October 2026.