Resident Consent Form

Name*

First NameLast Name

Property Address / Building*

21 Pinecrest Drive (Pinecrest at Essex Senior Living)9 Joshua Way (Pinecrest at Essex Senior Living)7 Joshua Way (Pinecrest at Essex Senior Living)10 Tyler Way (Taft Farm Senior Living)Other

Opting out means choosing not to participate in something or declining permission for an action. In the context of personal information, it refers to a person’s decision to withhold consent for their data to be shared, used, or included in certain activities. For example, if someone opts out of sharing their contact information, their details won’t be posted or made available.

Opting in means actively choosing to participate in something or giving permission for an action to take place. In the context of personal information, it refers to a person’s decision to allow their data to be shared, used, or included in certain activities. For example, if someone opts in to share their contact information, they are consenting to have their details posted or made available.

Do you wish to Opt Out of sharing your personal contact information?*

OPT OUT (my information will NOT be shared)OPT IN (I'd like to share some of my information)

Please check the information you consent to share:

NameEmail AddressPhone NumberApartment Address/Apartment Number

Where do you want to share your info?

Bulletin boardsTelephone DirectoryBirthday ListOther

Purpose of Sharing

By submitting this form, I understand that the contact information I choose to share will be made available to other residents of the property through the public bulletin board or community communication platform. This information will not be shared by Full Circle Property Management with third parties outside of the resident community.

Acknowledgement

I understand that sharing my personal contact information is entirely voluntary. I acknowledge that once this information is posted, Full Circle Property Management cannot control how it is used or shared by other residents. I understand that I can request to have my information removed at any time by contacting property management.

I, {name}, release Full Circle Property Management from any liability related to the sharing and use of my personal contact information once it has been posted in the manner outlined in this consent form.

By submitting this form, I, {name}, voluntarily consent to having my contact information (as indicated below) shared on the community bulletin board or other public communication channels at {propertyAddress}, managed by Full Circle Property Management.

By submitting this form, I, {name}, OPT OUT of sharing my personal information on the community bulletin board or other public communication channels at {propertyAddress}, managed by Full Circle Property Management.