Data Subject Access Request Form WebsiteYour Name*What email address do you use to access the above website?*You are submitting this request as*The person, or the parent / guardian of the person, whose name appears above.An agent authorized by the consumer to make this request on their behalf.Under the rights of which law are you making this request?*I am submitting a request to*Know what information is being collected from meHave my information deletedOpt out of having my data sold to third partiesOpt in to the sale of my personal dataAccess my personal informationFix inaccurate informationReceive a copy of my personal informationOpt out of having my data shared for cross-context behavioral advertisingLimit the use and disclosure of my sensitive personal informationOther (please specify in the comment box below)Please leave details regarding your action request or question.Please leave details regarding your action request or question.I confirm that* Under penalty of perjury, I declare all the above information to be true and accurate. I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with BodyWell Group. I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request. EmailThis field is for validation purposes and should be left unchanged. Δ
