Please select the option that applies:

I am the Data Subject or the Data Subject’s Parent/Guardian and have enclosed identification information for verification.I am not the Data Subject but am acting on the Data Subject’s behalf as a representative. I have written authority which is enclosed with this form with identification information for verification.

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Please select the type of request you are making:

Consent withdrawalAccess requestRectification of personal dataErasure of personal dataRestriction of processing of personal dataPersonal data portability requestObjection to processing of personal dataRequest regarding automated decision making and profiling