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Under the law, you (as a parent or legal guardian
of your child) have the right to review any personal information relating
to a child under the age of 13 in your care that may be collected by the
elibs.com website. Please check any or all of the options below:
I wish to review all of the
personal information currently collected on my child at elibs.com
I request that all personal
information currently collected on my child at elibs.com be deleted
I request that, in future,
all personal information regarding my child no longer be collected or used by
elibs.com
To help us identify the child in question in our database,
please fill out the following:
Child’s Email Address: _____________________________________________
Parent’s Email address: ____________________________________________
Under the law, we are obligated to verify the identity
of the requestor of this information and to ensure that the requestor is in
fact the child’s parent or legal guardian. To help us discharge this responsibility,
please fill out the following:
Please state your relationship to the child: _____________________________
Please state your name: ___________________________________________
Signature: _______________________________________________________
Date: ___________________________________________________________
Please print and send this form to: Privacy Coordinator;
elibs.com, Inc; 6223 Bay Club Drive Suite #2; Fort Lauderdale, FL 33308.

© 2001,2002,2003 elibs.com. Inc. All
rights reserved.
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