Guardian Legacy - Confidential Client Data Collection

Who's completing this form?

Please select your relationship to the primary family for customized form sections.

Primary Family Member

Primary contact, decision maker, or spouse/partner

Dependent Child

Children or dependents living with the family

Other Family Member

Extended family, relatives, or household members

Service Provider

Staff, contractors, business partners, service providers

Our Layered Defense Methodology

Stealth

Reduces your digital footprint by removing personal information from data brokers, marketing databases, and public sites. We systematically eliminate traces of your family's data across the internet.

Prepare

Builds your family's cyber awareness through personalized security training. Establishes multi-factor authentication, secure access policies, and mobile device management across all devices.

Predict

Continuously monitors the dark web for compromised credentials, tracks social media for impersonation attempts, and searches public databases for exposed personal information.

Protect

Discovers and secures every connected device across all properties—from computers to smart home systems. Creates a complete map of your digital infrastructure.

Detect & Report

Provides 24/7 monitoring with real-time alerts through your secure portal and mobile app. Delivers monthly reports showing threat activity and security improvements.

Primary Contact & Family Information

Essential information about the primary decision-maker and immediate family members who will be protected under the Guardian Legacy program.

Primary Contact & Decision Maker

First Name * Middle Name Last Name * Preferred Name Other Names/Aliases Primary Phone * Secondary Phone Primary Personal Email * Additional Personal Emails Business Email Date of Birth

Spouse/Partner

First Name * Middle Name Last Name * Preferred Name Other Names/Aliases Primary Phone * Secondary Phone Primary Personal Email * Additional Personal Emails Business Email Date of Birth

Dependent Child Information

First Name * Middle Name Last Name * Preferred Name Other Names/Aliases Primary Phone * Secondary Phone Primary Personal Email * Additional Personal Emails Date of Birth

Other Family Member Information

First Name * Middle Name Last Name * Preferred Name Other Names/Aliases Primary Phone * Secondary Phone Primary Personal Email * Additional Personal Emails Date of Birth

Service Provider Information

First Name * Middle Name Last Name * Preferred Name Other Names/Aliases Primary Phone * Secondary Phone Primary Personal Email * Additional Personal Emails Date of Birth

Physical Address Information

Current and historical addresses help us identify all data broker profiles and potential exposure points.

Primary Residence

Street Address * City * State/Province * ZIP/Postal Code * Country *

Secondary Residence(s)

Street Address City State/Province ZIP/Postal Code

Business Address

Street Address City State/Province ZIP/Postal Code

Previous Addresses (Past 10 Years)

Street Address City State/Province ZIP/Postal Code

School

Name Address Type

Digital Footprint & Technology Infrastructure

Understanding your current technology environment and digital presence allows us to identify vulnerabilities and design appropriate security measures.

Social Media & Online Presence

Primary Contact

Spouse/Partner

Personal Devices & Systems

Please check all that apply and provide details where requested:

Primary Contact

iPhone Android iPad/Tablet MacBook Windows Laptop Desktop Computer Smart TV Gaming Consoles

Spouse/Partner

iPhone Android iPad/Tablet MacBook Windows Laptop Desktop Computer Smart TV Gaming Consoles

Smart Home & IoT Devices

Smart Doorbell Security Camera System Smart Locks Smart Garage Door Openers Smart Thermostats Voice Assistants Smart Lighting Systems Pool/Spa Automation Home Theater Systems Other IoT Devices

Network & Internet Infrastructure

Primary Internet Provider Speed/Plan Router/Modem Brand/Model Wi-Fi Network Names Current Security System Provider Current IT Support

Business Interests & Asset Categories

Understanding your business interests and asset categories helps us identify potential attack vectors and tailor our security approach.

Primary Business Entities

Company Name Your Role/Title Industry/Sector

Current Security Concerns & Risk Factors

This section helps us understand your current security posture and specific concerns that may require immediate attention.

Authorization & Consent

Authorization

By submitting this form, I authorize Guardian Legacy to:

Act on my behalf to remove personal information from data broker sites
Monitor the dark web and public databases for my family's personal information
Install and configure security software on devices and networks
Monitor network traffic and device activity for security threats
Access necessary accounts and systems to implement security measures
Coordinate with other service providers as necessary for comprehensive protection

Parent/Legal Guardian Authorization

A parent or legal guardian must provide authorization for dependent children.

Parent/Guardian Full Name * Relationship to Child * Parent/Guardian Digital Signature (Full Name) * Date *

Digital Signature (Full Name) * Date *

Confidentiality Notice

Security Requirements

Who's completing this form?

Our Layered Defense Methodology

Stealth

Prepare

Predict

Protect

Detect & Report

Primary Contact & Family Information

Primary Contact & Decision Maker

Spouse/Partner

Dependent Child Information

Other Family Member Information

Service Provider Information

Physical Address Information

Primary Residence

Secondary Residence(s)

Business Address

Previous Addresses (Past 10 Years)

School

Digital Footprint & Technology Infrastructure

Social Media & Online Presence

Primary Contact

Spouse/Partner

Personal Devices & Systems

Primary Contact

Spouse/Partner

Smart Home & IoT Devices

Network & Internet Infrastructure

Business Interests & Asset Categories

Primary Business Entities

Asset Categories

Current Security Concerns & Risk Factors

Current Security Measures

Physical Security

Digital Security

Specific Security Concerns

Authorization & Consent

Authorization

Parent/Legal Guardian Authorization

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