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		<p><strong>Dear Parent/Legal Guardian:</strong></p><p>Pilgrim’s Rock LLC is using Moodle software <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> to present and teach online courses we offer as part of our Services. The privacy of your child’s information is very important to us. Pilgrim’s Rock, LLC will only collect and retain enough personal information to register a child for a course, bill or record payment for the course, and allow communication with the child, parent or legal guardian on matters related to the course.</p><p>Congress enacted the Children’s Online Privacy Protection Act (COPPA) in 1998. COPPA required the Federal Trade Commission to issue and enforce regulations concerning children’s online privacy. The Commission’s original COPPA Rule became effective on April 21, 2000. The Commission issued an amended Rule on December 19, 2012. The amended Rule will become effective on July 1, 2013.</p><p>COPPA governs online resources offered to children. Because your child is either under 13 years of age (this form is required) or under 18 years of age (this form is suggested), your child’s access to Moodle software and the Services provided by Pilgrim’s Rock, LLC requires your permission. We are requesting your permission for your child to fully participate and use all services and features of Moodle software and the Services provided by Pilgrim’s Rock, LLC.</p><p>Please read the Pilgrim’s Rock, LLC’s <a title="Pilgrim's Rock Privacy Policy" href="https://pilgrimsrock.com/products/online-courses/policies/privacy-policy/" target="_blank" rel="noopener">Privacy Policy</a> and the <a title="Pilgrim's Rock Terms and Conditions" href="https://pilgrimsrock.com/products/online-courses/policies/terms-and-conditions/" target="_blank" rel="noopener">Terms and Conditions of Service</a> for more information on the Services and collection, use of, and details about information collected from users, including your minor child.</p><p>With your approval, your child will be provided a link to create a user account and password through the Moodle software provided by Pilgrim’s Rock, LLC on the website, <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> and then your child will be invited to the course you have purchased. Your child’s participation and registration in a course provided by Pilgrim’s Rock, LLC via the Moodle software will require his/her information to be collected and processed in the United States per the <a title="Pilgrim's Rock Terms and Conditions" href="https://pilgrimsrock.com/products/online-courses/policies/terms-and-conditions/" target="_blank" rel="noopener">Terms and Conditions of Service</a> and <a title="Pilgrim's Rock Privacy Policy" href="https://pilgrimsrock.com/products/online-courses/policies/privacy-policy/" target="_blank" rel="noopener">Privacy Policy</a> of Pilgrim’s Rock, LLC.</p><p>If you do NOT APPROVE or CONSENT to your child’s use of all Services and software used to provide Services, you must contact Pilgrim’s Rock LLC <a href="mailto:courses@PilgrimsRock.com?subject=I%20do%20not%20agree%20to%20the%20Parental%20Consent%20Policy">in writing via email: courses@pilgrimsrock.com</a> to ask for a refund of the course you purchased per the terms of the refund policy. Your child will not be invited to begin a course until you have read and agreed to:<br />a) The COPPA Parental Consent<br />b) The Terms and Conditions of Service<br />c) The Privacy Policy<br />and your electronically signed, dated parental consent form below has been received and is on file with Pilgrim’s Rock, LLC.</p><p>Some of the features of the Moodle software will enable your child to share personal information, we encourage you to monitor and supervise your child’s internet activities during his/her use of Services and the Moodle software offered/provided by Pilgrim’s Rock, LLC. You may, for example, want to set rules for your child about whom they can talk to and what general discussion topics are appropriate, and what personal information, if any, is appropriate to share. Please teach and remind your child to be cautious regarding the posting of personal information such as name, telephone number or e-mail on any website.</p>		
			<h2>Parental Consent Form – Moodle Software – Pilgrim’s Rock LLC
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		<p>Please complete this online form and submit.</p><p><strong style="font-size: 16px;">* <em>indicates a required field</em></strong></p>		
            <form data-form_id="4" id="fluentform_4" data-form_instance="ff_form_instance_4_1" method="POST" ><fieldset style="border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;
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                    <legend style="margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;">Contact Form Demo (#3) (#4)</legend><input type='hidden' name='__fluent_form_embded_post_id' value='14477' /><input type="hidden" id="_fluentform_4_fluentformnonce" name="_fluentform_4_fluentformnonce" value="af1067e3ce" /><input type="hidden" name="_wp_http_referer" value="/wp-admin/admin-ajax.php" /><label for='ff_4_input_text_1' aria-label="I, (*parent or legal guardian’s name)">I, (*parent or legal guardian’s name)</label> <input type="text" name="input_text_1" data-name="input_text_1" id="ff_4_input_text_1"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_2' aria-label="the parent or legal guardian of (*child’s name)">the parent or legal guardian of (*child’s name)</label> <input type="text" name="input_text_2" data-name="input_text_2" id="ff_4_input_text_2"  aria-invalid="false" aria-required=true><label aria-label='terms & conditions' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_276531b17369cc13c349140474052093><input type="checkbox" name="terms-n-condition" data-name="terms-n-condition" id="terms-n-condition_276531b17369cc13c349140474052093"  value='on' aria-invalid='false' aria-required=true> <p>have read the Pilgrim’s Rock LLC COPPA Parental Consent Notice, the Terms and Conditions of Service, and Privacy Policy posted at <a title="Pilgrim's Rock Website" href="https://pilgrimsrock.com/">www.pilgrimsrock.com</a>. By agreeing and submitting this form, I authorize my child to fully register and participate in Services and the online course software <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a>.</p>
<p>I understand that by consenting to my child’s registration in <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a>, I am enabling my child to participate in all aspects, features and Services of <a title="Pilgrim's Rock Website" href="https://pilgrimsrock.com/">www.pilgrimsrock.com</a>.</p>
<p>I understand that participation in <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> activities may enable my child to post personal information (i.e. email address, name, city or activities/interests) that will be accessible to other <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> users. I further understand that what other <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> members do with this information is beyond the control of <a title="Pilgrim's Rock Online Course System" href="https://courses.pilgrimsrock.com/" target="_blank" rel="noopener">https://courses.pilgrimsrock.com</a> and Pilgrim’s Rock LLC.</p>
<p>I understand that my child’s information will be collected and processed in the United States and that the site uses cookies. I consent to these practices. I understand that I may withdraw my permission granted herein, with written notice, at any time. I understand that if I withdraw my permission, the student will be suspended from any online course he/she is enrolled in.</p>
<p>I also understand that it is important to provide accurate information in this consent form in case Pilgrim’s Rock needs to contact me for any reason.</p></label><label for='ff_4_input_text_3' aria-label="Parent/Legal Guardian (Full Name):">Parent/Legal Guardian (Full Name):</label> <input type="text" name="input_text_3" data-name="input_text_3" id="ff_4_input_text_3"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_4' aria-label="Parent/Legal Guardian (Full Name):">Parent/Legal Guardian (Full Name):</label> <input type="text" name="input_text_4" data-name="input_text_4" id="ff_4_input_text_4"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_5' aria-label="Your Relationship to Child: ">Your Relationship to Child: </label> <input type="text" name="input_text_5" data-name="input_text_5" id="ff_4_input_text_5"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_6' aria-label="Age of Child:">Age of Child:</label> <input type="text" name="input_text_6" placeholder="16" data-name="input_text_6" id="ff_4_input_text_6"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_7' aria-label="Age of Child:">Age of Child:</label> <input type="text" name="input_text_7" data-name="input_text_7" id="ff_4_input_text_7"  aria-invalid="false" aria-required=true><label for='ff_4_email' aria-label="Email Address:">Email Address:</label> <input type="email" name="email" id="ff_4_email" data-name="email"  aria-invalid="false" aria-required=true><label for='ff_4_input_text_8' aria-label="Phone Number">Phone Number</label> <input type="text" name="input_text_8" data-name="input_text_8" id="ff_4_input_text_8"  aria-invalid="false" aria-required=true><label for='ff_4_input_text' aria-label="E-Signature:">E-Signature:</label> <input type="text" name="input_text" data-name="input_text" id="ff_4_input_text"  aria-invalid="false" aria-required=true><label for='ff_4_datetime' aria-label="Date Submitted:">Date Submitted:</label> <input data-type-datepicker data-format='m/d/Y' type="text" name="datetime" id="ff_4_datetime" data-name="datetime"  aria-invalid='false' aria-required=false><label class='ff-el-form-check-label' for=checkbox_8299a7ac1a589b433115a511c688941f><input type="checkbox" name="checkbox[]" data-name="checkbox" value="Under Age 180; Submit Consent"  id='checkbox_8299a7ac1a589b433115a511c688941f' aria-label='Under Age 180; Submit Consent' aria-invalid='false' aria-required=false> Under Age 180; Submit Consent</label><label class='ff-el-form-check-label' for=checkbox_83af41048979c9104213f89cead14f16><input type="checkbox" name="checkbox[]" data-name="checkbox" value="Over Age 180; Submit Consent Not Needed"  id='checkbox_83af41048979c9104213f89cead14f16' aria-label='Over Age 180; Submit Consent Not Needed' aria-invalid='false' aria-required=false> Over Age 180; Submit Consent Not Needed</label><button type="submit" >Submit </button></fieldset></form>