Permission to Participate In Air Age Inc. Websites

Instructions for Parents/Guardians of children under 13 years of age.

Please print out this page, sign it and fax it to:
Air Age Media at 203-431-3000

Or mail it to:
COPPA Administrator
Air Age Inc.
20 Westport Road, Wilton, CT 06897

Required Information
User Name  
Email Address  
Please sign the form below and mail or fax it to us.

I have reviewed the information my child has supplied and I have read the Privacy Policy for the web site. I understand that I may ask for this registration profile to be removed entirely.
Parent/Guardian Full Name  
Relation to Child  
Telephone Number  
Email Address  
Signature  
Date  
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