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 203-431-9000
Or mail it to:
COPPA Administrator
Air Age Inc.
88 Danbury Rd, 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. |
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Parent/Guardian Full Name | |
Relation to Child | |
Telephone Number | |
Email Address | |
Signature | |
Date |