Permission Form

In order to fill out one of ICES online forms, we will need your parent's consent. Please ask your parent to read the COPPA Policy Notice before filling out the following form.

  

Parent Name
Child Name
Phone Number
E-mail Address
 
Which form are you
requesting permission
for?
Hall of Fame Nomination
Gift Membership
Membership Scholarship
 
Please check one:
I give ICES permission to collect my child's information.
 I do not give ICES permission to collect my child's information.
 
Please note that ICES will be contacting the parent to verify consent. If you have any questions, please contact the Internet Chair.
 

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