Under 13 registration: Parent or Guardian Approval Form

All users under the age of 13 must seek permission from their parent or guardian in order to register at GlobalPetVillage.com. A parent or guardian must complete the form below and return it by fax or mail before the registration can be completed. Once your completed and signed form is received, the account will be set up and you will be notified via the email address provided below.

Name of Child: ________________________________

Email address: ________________________________

Address: ________________________________

City: ________________________________

State: ________________________________

Zip code: ________________________________

I hereby affirm that I am the parent /guardian of this child whose name is stated above. I affirm that I have read the Privacy Policy for globalpetvillage.com at the web site. I hereby give permission to globalpetvillage.com to collect and store information and or pet pictures submitted by this child. I understand that I may ask for this registration profile to be removed at any time. I also understand that globalpetvillage.com may occasionally contact my child through email.

Please fax the completed form to (323) 299-2251

OR

Mail it to:

Globalpetvillage.com
6230-A Wilshire Blvd, Suite 1125
Los Angeles, California 90048-5126