P.O. Box 17885 / Shreveport, LA / 71138-7885
| Purpose of Site Talent Presentation Site / with "Optional" Message Board / Meeting Site / Network site / Classified Site site includes category for Nude models, * this section will not be available to members signed on as COPPA compliant |
Permission to Participate at Centerpiece-Presentations.com
|
Instructions for a Parent or Guardian
COPPA
- Link ( please read)
Please print out this page, sign it and email
it to:
Administration
Or mail it to:
Centerpiece-Presentations:
Administration / P.O. Box 17885
/
Shreveport, LA / 71138-7885
If approval is not received in 7 days the information will be deleted.
| Required Information | |
| Username on centerpiece-presentations.com | |
| Email Address | |
| To make changes to the profile information below, please
visit contact us via E-mail : include the Parents Home Phone
# enter the username and password: and the Parents ID code
we will provide to them on initial registration. |
|
| Home Page | http://www. Centerpiece-presentations.com |
| Signature | |
| Privacy Mode ( please list your request) | |
| ICQ Number | N/A |
| AIM Screen Name | N/A |
| Yahoo! Messenger Handle | N/A |
| MSN Messenger Handle | N/A |
| Please sign the form below and send it to us. I have reviewed the information my child has supplied and I have read the Privacy Policy ( http://www.centerpiece-presentations/FAQ & Policy.htm ) for the web site. I understand that the profile information may be changed by a. using a password. I understand that I may ask for this registration profile be removed entirely, I understand and I agree with Centerpiee-Presentations.com Terms & Agreements...and I do acknowledge that they may be changed at anytime. |
|
| Parent / Guardian Full Name | |
| Relation to Child | |
| Birth date of Child | |
| Telephone Number | |
| Email Address | |
| Signature | |
| Date of Completion | |
| Ref: Parental Id Assigned: | |
| Please contact Administration with any questions that you may have. | |