Consent to Collect, Retain and Use Child's Personal Information
This form must be filled out by the parent or legal guardian of the child.
It should then be mailed to minortown.com at:
I, as the parent/legal guardian of the child(ren) listed below, grant permission for minertown.com to collect, retain, and use the child(ren)'s personal information as noted below. All information collected by minertown.com will be used for internal purposes only, for marketing products, informing of sales and other information, and sales of products.
Information allowed to collect, retain and use:
Email address(es) listed: _______________________________________________________________
Name(s): ______ Address(es): ______ Telephone Number(s): ______
Other (specify): _______________________________________________________
Address of parent/legal guardian __________________________________________
Email of parent/legal guardian _____________________________________________
Note: Address and email of parent/legal guardian is only used for record keeping purposes in case of a question regarding parental consent