KidzEyes Parent or Legal Guardian Consent Agreement

IMPORTANT: YOU MUST REGISTER YOUR CHILD ONLINE BEFORE SUBMITTING THIS FORM

Please return this form by faxing it to (312) 828-0553 or mailing it to:
KidzEyes Panel Administrator, c/o C+R Research, 150 N. Michigan Ave. Chicago, IL 60601

 

I,___________________________________________________________________, the parent/guardian of
(Your first name) (Your last name)

 

1.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

4.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

 

2.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

5.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

 

3.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

6.______________________________________
(Child’s first name) (Child’s last name) (Age) (Login)

living at:

______________________________________ (Street Address)

______________________________________ (Apartment or unit number)

 

______________________________________ (City) (State)

______________________________________
(Zip code)

 

email:_________________________________

Area code: _______  Phone: _________________

 

hereby give my permission for my child(ren), named above, to join the KidzEyes.com panel, an online survey research panel owned by C+R Research Services, Inc., a marketing research company located at 150 North Michigan Avenue in Chicago, Illinois and on the Internet at https://www.crresearch.com.  I represent and warrant that I am at least 18 years of age, and possess the legal right to enter into this agreement.

I am aware that the purpose of KidzEyes is to gather opinions from kids aged 6 to 12 about products and services of many kinds, and that the opinions of panel members will be shared with KidzEyes’ clients in aggregate, without identifying the identity of any child, parent or guardian. The opinions of panel members will be used to help KidzEyes learn what kids think about many issues in order to advise companies on the design of products, or services, or advertising.

By signing this agreement, I confirm that I am aware that all survey data collected by KidzEyes.com is the property of KidzEyes and/or its clients, and that KidzEyes panel members, their parents and guardians, relinquish any interest in all opinions, ideas or other information that is collected in KidzEyes surveys and other research projects.


I have read and understand the KidzEyes Membership Agreement and Privacy Policy.

·        https://s3.amazonaws.com/s3.netcrimson.com/policies/termsofuseunder13.pdf

·        Privacy Policy

and by signing and returning this Parental Consent Agreement, give permission for my child, named above, to become a member of the KidzEyes.com panel and agree to be bound by the terms and conditions set forth in the Membership Agreement and Code of Conduct. 

 

Signature: _______________________________________________    Date: ____________________