| Parental Consent Form |
Please print this message out and have your parent or guardian sign and date it.
Then fax it to: (614) 455-9258
OR mail it to:
James Bradach
Re: NAO COPPA Forms
PO Box 250335
Little Rock, AR 72225
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Permission to Participate at Neoartists.org Oekaki
Desired username:
Desired password:
E-mail address:
The following will appear on your child's user profile:
Gender:
Location:
Website:
AIM:
ICQ:
MSN:
Yahoo:
Comments:
I have reviewed the above information provided by my child and hereby grant permission to Neoartists.org to store this information.
I understand this information can be changed at any time by entering a password.
I understand that I may request for this information to be removed from Neoartists.org at any time.
Parent or Guardian
(print your name here):
(sign here):
Date:
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Once the administrator has received the above form via fax or regular mail your account will be created.
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