Permission to Participate at The Ledge
For Those Age 12 And Under

Instructions for a Parent or Guardian

The COPPA permission form may be mailed to:

The Penguin
P.O. Box 571
Piscataway, NJ 08855-0571

Questions should be directed to

Here is the required information supplied with this registration request:

User Name

Information supplied below is optional. Please review it carefully.

City, State, Country
Allow Bulletin Board Administrators and Moderators To Send You Email Notices?
Keep your email address viewable to other users when you post notes?
ICQ Number

Please sign the form below and send it to us. [see instructions above]

YES: I have reviewed the information my child has supplied and I have read the Privacy Policy for the web site. I understand that the profile information may be changed by using a password. I understand that I may ask for this registration profile be removed entirely.

Parent/Guardian Full Name


Relation to Child


Email Address


Online Request Date [available for online registration only]

Please contact with any questions

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