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Website Membership COPPA Permission Form






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COPPA Permission

Parent(s)/Legal Guardian(s)
Permission/Consent-To-Participate Form
COPPA Rule Compliance

Parent(s) or Legal Guardian(s),

Your "child" (i.e., less than (<) 13 years old, as defined by the federal Children's Online Privacy Protection Act, a.k.a., "COPPA") is interested in establishing his or herself as a registered memberof the website http://www.Caught-The-Skunk.com and by doing so, will be allowed to post messages to the discussion forum known as the "Skunk's Lair." However, in order to do so, we require that this form be printed, signed by his/her Parent(s) or Legal Guardian(s), then either scanned and attached as part of an e-mail or physically mailed to us.

It is your responsibility to review our policies and discuss the activation of such a membership with your child, prior to submitting this form for approval. You may read more about our Privacy Policy or consult our website's Site Map.

Please print this form out, complete it, scan the signed form, and then e-mail it (as an attachment) here.

If you are unable to scan the form, please mail the signed form to the address below:

Caught-The-Skunk, LLC
P.O. Box 532
Westville, NJ 08093


When the form is received by us, we will enable those features that are currently disabled by default for the assigned age listed above, i.e., the ability (as a registered member) to post comments to the discussion forum known as "The Skunk's Lair."

We require that you submit the following information in order to setup a user account:

1) Participant's Full Name


___________________________________________________________________________

2) Participant's Suggested "USERNAME"


___________________________________________________________________________

3) Participant's E-Mail


___________________________________________________________________________

4) Parent(s)/Legal Guardian(s) E-Mail


___________________________________________________________________________



___________________________________________________________________________

Please Sign/Date Below and Return to Us.

By Signing/Dating below, I understand that the information that has been supplied by the "child" listed above is correct and to the best of my/our knowledge, and he/she has my/our permission to register an account with http://www.Caught-The-Skunk.com. Furthermore, I understand that I may request that the permission to become a registered member of Caught-The-Skunk.com may be removed, but in order to do so, Caught-The-Skunk, LLC requires that the request be made in writing utilizing the contact methods listed previously.

Print Parent(s)/Legal Guardian(s) Full Name:


___________________________________________________________________________


___________________________________________________________________________

Relationship to Child:


___________________________________________________________________________


___________________________________________________________________________


Signature Parent(s)/Legal Guardian(s) and Date:


___________________________________________________________________________


___________________________________________________________________________


A copy of the COPPA Form is available in PDF format for printing:

pdf logo COPPA Permission Form

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