CCPA Request Form

Your Email

Subject

You are submitting this request as:

The person, or the parent / guardian of the person, whose name appears above.An agent authorized by the consumer to make this request on their behalf.

Please leave details regarding your action request or question.

Please leave details regarding your action request or question.

I confirm that:

Under penalty of perjury, I declare all the above information to be true and accurate.I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with.I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.

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