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  • Legal Guardian Consent Form

  • Dear Parent / Legal Guardian:  

    Your child has recently registered to take part in the Personify Health Wellness Program (the “Program”).  We are committed to providing your child with a safe place in which to become healthier and more active.  Because your child is a minor, we need you to agree to our terms and conditions on behalf of your child so that your child may participate in the Program.  Our program, however, is designed to benefit adults and we do not permit anyone under the age of 16 to join the program.  If your child is under 16, we will terminate their account.

    The Program includes such features as (1) taking part in physical activity, health and wellbeing program components and challenges, digital and live coaching services, and any other services made available through the Program; (2) participating in the community aspects of the Program, such as the Groups and Friends features; and (3) personalizing certain areas on the site such as their profile information.  You can learn more about the Program at www.personifyhealth.com or by logging into the platform with your child.

    We will cancel your child's account 60 days from their original registration date unless you agree that that they may participate.  Note that, despite your consent to the terms, your child still has their own right to privacy under applicable privacy laws.  We may not be able to share certain details about your child’s participation in the Program with you.

    By signing this Legal Guardian Consent Form, you are hereby agreeing to your child participating in the Program and that the Membership Agreement, Privacy Notice, and other applicable documentation apply to and are binding on your child.  

    We look forward to hearing from you and welcoming your child to our Program.  

     

  • Legal Guardian Consent Form

  • the parent or legal guardian of

  • have had the opportunity to review the Personify Health’s Membership Agreement and Privacy Notice. By signing below, I accept the associated terms of use of the program on behalf of my child.

    I understand that, by consenting to my child's participation, I am enabling my child to participate in all communication features of the program, including posting and reading messages on the message board, participation in health and wellbeing programs, and receiving electronic communications from Personify Health. I understand that my child will be able to customize their own communication preferences.

    I also understand that my child's information will be collected and processed as described in the Personify Health Privacy Notice. I confirm that I have reviewed the Privacy Notice and accept its terms as they apply to my child.

    I also understand that it is important to provide accurate information in this consent form in case Personify Health needs to contact me for any reason.

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