Print out this page, then have a parent sign it and send it to:

[The site owner needs to place their contact info here.]

Desired Forum User Name:
E-mail Address:

I've reviewed the information my child has supplied and I've read the Privacy Policy (http://familyfriendlysites.com/index.php?action=privacy) for this web site. I understand that profile information may be changed by a using a password. I understand that I may ask for this profile to be removed.

Parent/Guardian Full Name:
Relation to Child:
Telephone Number:
Email Address:
Signature:
Date: