Please print out this form and fax the signed form to us at 1-818-999-0172.
I give permission for my child ___________________________ to participate in all activities on the www.kabillion.com site, including receiving announcements such as password retrieval, sending and receiving Kabillion.com email, participation in contests and sweepstakes, and posting on and viewing of the Kabillion.com forums. My child is also permitted to sign up with other Kabillion.com sponsors, who help keep Kabillion.com free for our members.
My child's current email address is: _____________________________________________________
Child's Login Name: ____________________________________________ (PLEASE WRITE CLEARLY)
Child's Birthdate: ____________________________________________________________________
State of Child's Residence: ____________________________________________________________
Parent/Guardian Name: _______________________________________________________________
Parent/Guardian Signature: ____________________________________________________________
Relationship to Child: _________________________________________________________________
Please enter your e-mail address in case we need to reach you: ________________________________
Please print out this form and fax it to us at 1-818-999-0172.
Or by mail to: Kabillion.com
Attention: Kabillion Editor
21300 Oxnard Street, Suite 100
Woodland Hills, California 91367
*If you have any questions regarding the Kabillion.com site or would like to speak with us concerning the sign up process please use this form.