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Electronic Device Consent

I hereby grant to 4theONE Foundation, its agents, successors and assigns, the right, permission, and consent to locate, search, access, or otherwise control, by any means, all electronic and/or mobile device(s) used by .

I declare I am the parent or guardian of , who is a minor and under the age of eighteen. Each device listed below is under my legal authority and has been provided to my child solely by my permission. I have the right to control the use and activity of each device and may revoke the usage of each device at any time.

I hereby release and discharge 4theONE Foundation, its successors, assigns and agents from any and all claims and demands arising out of or in connection with the locating, searching, accessing, or otherwise controlling the mobile device including any loss of data or functionality, voiding of warranty, or physical damage.

Is any device connected to a Family or Parental Monitoring service? If yes, please remove all restrictions so we can more fully access the data.

How many devices are a phone, tablet, laptop, desktop or gaming console? (enter number of each)

Phone Tablet Laptop Desktop Gaming Console

Is any device connected to a cellular carrier (such as Verizon, AT&T, etc)?

Yes

If yes, what cellular carrier and which device(s)?

What model is each device (example, iPhone 6, Galaxy 8plus, ZTE, etc) - the more specific you can be with this information the better.

Youth’s Name:

Youth’s Age:

Printed Name of Parent or Guardian:

Date:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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Timestamp

Audit

September 17, 2020 4:41 pm CDT

Electronic Device Consent Uploaded by Dennis Ozment - dennis@4theone.org IP 47.188.127.130