COPPA Form for www.galcon.com and all games by Hassey Enterprises, Inc.

Please print out this page, sign it and mail it to:

Hassey Enterprises, Inc.
10975 Clennin Road
Rye, CO 81069
United States

Child's User Name
Child's E-mail Address
I have reviewed the information my child has supplied. I understand and agree with the policies outlined on https://www.galcon.com/classic/policy.html. I give my permission for my child to have an account and to participate.
Parent / Guardian Full Name
Relation to Child
Telephone Number
Email Address
Signature
Date