Name of contest your child has entered: _______________________________
Premission granted for your child to participate: Yes _____ No _____

Your child's information as it will appear on the winners page (if your child wins):

First Name: ______________
Age: _____
Country: ________________

Please initial here that you understand that this information will be published on The Youth Online Club's Contest Winners page. ______

Return Address:
This information is not used on the site in any way.

Child's Full Name: _____________________________
c/o Parent(s) Full Name: _____________________________
Address:
_____________________________
_____________________________
_____________________________
_____________________________
Telephone Number (with area code): _______________

Your telephone number is required. If your child wins, we will confirm that parental permission has been given via a phone call. We will then confirm the address and the prize(s) will be sent out.

Please review this form and if this information is correct, please sign and return this sheet along with your child's entry (if applicable) to:

The Youth Online Club
c/o Shauna De Feyter
145 Manitou Drive
Sault Ste. Marie, ON
P6B 5K8

_____________________________
Parents Signature

The Youth Online Club does not share any information obtained via contests, newsletters or forum entries with other agencies or companies. In other words, your information stops here and is not given to spammers or the like.