QuickTalk

Register / Coppa form

Instructions for a Parent or Guardian. Please print out this page, sign it and fax it or mail it to:


Permission to participate to the board   Yes   No
Child member Name, firstname  
Child member Username  
Child member e-mail (if any)  
Privacy mode (e-mail visible for)   Members only   Nobody

I have reviewed the information my child has supplied and I have read the Privacy Policy for the web site. I understand that the profile information may be changed by him using a password. I understand that I may ask for this registration profile to be removed entirely.

Parent/Guardian Name, firstname  
Relation to child  
E-mail address  
Phone  


Signature and date		  

If approval is not received in 7 days the information will be deleted.