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REVOCATION
OF PARENTAL CONSENT FORM
TO: CHARACTERPRODUCTS.COM,
A DIVISION OF CHARACTER PRODUCTS, INC.
REVOCATION OF PARENTAL CONSENT FORM
CharacterProducts.com
A Division of Character Products Inc.
501 W. Glenoaks Blvd., #818
Glendale, CA 91202
Date:
____________________
I understand that Information about the activity of visitors to CharacterProducts.com
is automatically provided to CharacterProducts.com when visitors sign
on. It is used by CharacterProducts.com for internal review in aggregate
and non-personally-identifiable form. E-mail addresses and other personally
identifying data about visitors is known to CharacterProducts.com only
when voluntarily submitted or posted by visitors. CharacterProducts.com
uses personally identifying data provided by visitors only in connection
with his or her use of the site and for CharacterProducts.com promotional,
analytic, planning and inventory purposes and will not be disseminated
to anyone outside of CharacterProducts.com. Furthermore, CharacterProducts.com
sometimes uses E-mail addresses and other personally identifying information
to contact visitors who communicate with CharacterProducts.com. For example,
CharacterProducts.com directs E-mail to visitors who provides CharacterProducts.com
with their E-mail addresses for specific purposes such as responding to
an inquiry or notifying users of promotions.
I understand that industry standards for children's sites on the world
wide web of the Internet require that I provide to the owner/operator
of the web site an informed consent, on behalf of my child or the child
for whom I act as legal guardian, before you may collect any personally
identifiable information from the child which information may include
but not be limited to his or her name, mailing address, e-mail address,
telephone number, nickname, or Internet name, as well as products he or
she likes to play with or would like to receive information about.
Parental Consent
Previously Granted
I understand
that I, or another parent in this household, previously granted to you
-- by the return to you of a verifiable Parental
Consent
form. -- a parental consent enabling my child to register with the site,
join any clubs on the site, and proceed into certain areas of your Internet
site where such personally identifiable information may be requested or
collected by you.
Revocation of Consent To Collect & Transfer Certain Information Specified
Below
I hereby confirm to you that the signature below is my own true and accurate
signature and I am at least 18 years of age. I hereby revoke the parental
consent previously granted for you to collect and share with other parties
my child's personally identifiable information. I hereby certify that
I am this child's parent, legal guardian, or most responsible adult figure
above the age of 18 residing in his or her household. I understand that
I may reinstate a Parental Consent at any time by going to CharacterProducts.com
and printing a Parental
Consent
form.
All information concerning the child provided below is supplied only for
purposes of verification of this Form and CharacterProducts.com will make
no use of it for any other purpose.
Child's name: ________________________ /or/ Child's screen name: _________________
"Parent" name [please print carefully or type]: ___________________________________
"Parent" Signature: _________________________ Date: ______________
Please print and return this Form promptly by mailing to the
above street address.
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