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Parental Consent Form

PARENTAL CONSENT FORM

In order to verify your consent for the collection, use and disclosure of your child’s personal information, please follow these steps:

1. Complete all fields below and sign this Parental Consent Form.

2. Scan and email the completed and signed Parental Consent Form to us at support@au.monocreators.com

Account Information (for child)

Child’s Full Name: _______________________________________________________

Date of Birth: _______________________________________________________

Parent/Legal Guardian’s Information

Full Name: _______________________________________________________

Relationship to the Child: _______________________________________________________

Email Address: _______________________________________________________

I certify that I have been provided access to, and have reviewed and fully understand the Terms of Use and Privacy Policy.

By providing the information above and signing this request, I hereby provide my consent for:

(a) my child to fully participate in the services from time to time; and

(b) the collection, use and disclosure of my child’s personal information as indicated in the Terms of Use and Privacy Policy.

I understand that I may, at any time by emailing support@au.monocreators.com

(i) request to review my child’s personal information,

(ii) request for my child’s personal information to be modified or deleted; and

(iii) request that you stop collecting or using my child’s personal information.

I understand that I may consent to the collection and use of my child’s personal information without consenting to the disclosure of that information to third parties except for those engaged by you to provide and manage the services.

_____________________________

Signature of Parent/Legal Guardian

Date Signed: __________________