Richard wants to know if he refuses to agree to terms of service or permissions on his Amazon Fire Tablet, will he be able to use it still? Leo says you can. They ask for it because they know people don't read it, and they want to scan your data to show you targeted ads. You may lose a few features, but odds are, they aren't worth having if you say no.
Check out TOSDR to understand what your terms of service and permissions really mean.