You are on page 1of 1 Contest Entry Form Pos hi £9925 user name), nereby sign to very that am nat ove the age of 18 ad wil require parental consent to join the contest. My parent/guardian and | will take full responsibility to provide a name and mailing information to claim the prize if I'm declared the winner. | have read and agree to all of’s website rules, policies which include but not limited to the set specified in the contest. My parent/guardian and | acknowledge and accept full responsibility for the information provided. NOTE: site policy states we will not reveal any information we have on users unless required by law. Parental Information Please specify a full name and €-Mail address for contacting the parent/guardian: Broce Merman bmeerman © nostard’ Parental Notes: Parental Signature: User/Participant Signature